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Toxicidad hepatica grave por drogas antituberculosas. Revision de 19 casos
Severe hepatic toxicity due to tuberculostatics. A review of 19 cases
M.aL. Martinez Martinez, R. Vidal Pla, R. Esteban Mur, J. Ruiz Manzano, E. Fite Reig, E. Monso Molas
Sección de Neumología. Departamento de Medicina Interna. Ciudad Sanitaria Valle de Hebrón. Barcelona
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se revisan diecinueve pacientes que presentaron toxicidad hep&#225;tica grave en el curso del tratamiento con drogas antituberculosas&#46; Se comenta la incidencia de la he-patotoxicidad y la relaci&#243;n en ocasiones con factores predisponentes o con sobredosificaci&#243;n de dichas drogas&#46; Puede aparecer en cualquier momento del tratamiento&#44; aunque es m&#225;s frecuente en los dos primeros meses&#59; en m&#225;s de la mitad de nuestros pacientes&#44; la toxicidad hep&#225;tica apareci&#243; en los primeros 15 d&#237;as&#46; Los s&#237;ntomas son fundamentalmente digestivos&#46; Observamos en 14 pacientes ictericia y en siete s&#237;ntomas de insuficiencia hep&#225;tica&#46; Un paciente falleci&#243; y el resto recuper&#243; la normalidad cl&#237;nica y bioqu&#237;mica entre los 4 y 30 d&#237;as tras dejar el tratamiento antituberculoso&#46; Estos reanudaron el tratamiento con drogas no hepatot&#243;xicas siguiendo una evoluci&#243;n favorable hasta el final del tratamiento&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Nineteen patients with severe hepatic toxicity due to tuberculostatics were included in a study on the incidence of hepatic toxicity and the relationship with predisposing factors or drug overdose&#46; Hepatic toxicity may appear at any time during treatment but occurs most frequently during the first two months after starting treatment&#59; all 19 patients in our study presented toxicity within 15 days&#46; Symptoms were principally digestive ones and 14 patients had ictericia and 7 presented symptoms of hepatic insuf-ficiency&#46; One patient died&#46; In the remaining 18 patients&#44; clinical and biochemical data returned to normal within 4 to 30 days after suspension of the antituberculosis therapy&#46; Treatment was continued with non-hepatotoxic drugs and elicited a favourable response in all patients&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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