2015
DOI: 10.1155/2015/619473
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Rhabdomyolysis due to Trimethoprim-Sulfamethoxazole Administration following a Hematopoietic Stem Cell Transplant

Abstract: Rhabdomyolysis, a syndrome of muscle necrosis, is a life-threatening event. Here we describe the case of a patient with chronic myeloid leukemia who underwent a haploidentical stem cell transplant and subsequently developed rhabdomyolysis after beginning trimethoprim-sulfamethoxazole (TMP/SMX) prophylaxis therapy. Rechallenge with TMP/SMX resulted in a repeat episode of rhabdomyolysis and confirmed the association. Withdrawal of TMP/SMX led to sustained normalization of creatine kinase levels in the patient. A… Show more

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Cited by 5 publications
(3 citation statements)
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References 23 publications
(31 reference statements)
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“…ere are a number of case reports of RML following administration of theophylline [12,13]. A few case reports have reported co-trimoxazole as a potential trigger of RML [14,15]. Even though endogenous estrogen appears to attenuate muscle damage in animals, women taking oral contraceptives, thereby having higher exogenous estrogen levels with lower endogenous estrogen levels, appear to be more susceptible to exerciseinduced muscle damage and have an attenuated recovery from exercise-induced muscle damage [16][17][18].…”
Section: Discussionmentioning
confidence: 99%
“…ere are a number of case reports of RML following administration of theophylline [12,13]. A few case reports have reported co-trimoxazole as a potential trigger of RML [14,15]. Even though endogenous estrogen appears to attenuate muscle damage in animals, women taking oral contraceptives, thereby having higher exogenous estrogen levels with lower endogenous estrogen levels, appear to be more susceptible to exerciseinduced muscle damage and have an attenuated recovery from exercise-induced muscle damage [16][17][18].…”
Section: Discussionmentioning
confidence: 99%
“…However, in the literature in English, there are reports indicating that dasatinib can be safely used in patients who have experienced rhabdomyolysis. 6 Augustyn et al 6 and our group had administered dasatinib to CML patients with rhabdomyolysis, and there were no complications, including CK increase, in the clinical and laboratory follow-up of the patients. Nevertheless, we agree with Uz and Dolasik that if there is rhabdomyolysis in a given CML patient who has been using imatinib, one of the second-generation TKIs (tyrosine kinase inhibitors), including nilotinib, could be administered to the patient.…”
mentioning
confidence: 75%
“…Our review of the literature found most of the reported cases being in immunocompromised patients with HIV infection [10] [11] [12], or allogeneic stem cell transplant recipient [11] [13]. To the best of our knowledge, our patient is the third case of SMX-TMP-induced rhabdomyolysis in an immunocompetent patient, and the second of the immunocompetent patient to have multiple attributing factors [14] [15].…”
Section: Introductionmentioning
confidence: 86%