Evidence map›Paper›PMID 30266895›Full record

ReviewThe American journal of case reports2018

Idiosyncratic Drug-Induced Liver Injury Due to Ciprofloxacin: A Report of Two Cases and Review of the Literature.

Milan Radovanovic, Tetyana Dushenkovska, Ivan Cvorovic, Natasa Radovanovic, Vimala Ramasamy, Katarina Milosavljevic, Jelena Surla, Mladen Jecmenica, Miroslav Radulovic, Tamara Milovanovic and 1 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in The American journal of case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. IgG4-related autoimmune hepatitis: A case report.The Journal of international medical research · 2023
    Article
  6. Review
  7. Article
  8. Drug-induced severe liver injury due toJournal of biomedical research · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Comparison of Methicillin-ResistantJournal of clinical medicine · 2019
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Milan RadovanovicDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Tetyana DushenkovskaDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ivan CvorovicDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Natasa RadovanovicDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Vimala RamasamyDepartment of Medicine, North Central Bronx Hospital, Bronx, NY, USA.
Katarina MilosavljevicNorthwestern University, Chicago, IL, USA.
Jelena SurlaDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Mladen JecmenicaDepartment of Medicine, The Wright Center for Graduate Medical Education, Scranton, PA, USA.
Miroslav RadulovicDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Tamara MilovanovicDepartment of Gastroenterology and Hepatology, Belgrade University School of Medicine, Belgrade, Serbia.
Igor DumicDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USNorth Central College · USNorthwestern University · USThe Wright Center for Graduate Medical Education · USUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Drug-induced liver injury (DILI) can present clinically as a spectrum that includes asymptomatic elevation of transaminases, acute or chronic hepatitis, and acute liver failure. Idiosyncratic DILI is more likely to affect individuals with comorbidities, and to have a wide range of clinical presentations. Although antibiotics are associated with DILI, the fluoroquinolone, ciprofloxacin, is a rarely reported cause. Two cases of idiosyncratic DILI following ciprofloxacin treatment are described, including a review of the literature. CASE REPORT Case 1: A 35-year-old man was treated with ciprofloxacin for periorbital cellulitis. On the second day of ciprofloxacin treatment, he developed abdominal pain, nausea, vomiting and increased serum levels of liver transaminases, aspartate aminotransferase (AST), and alanine aminotransferase (ALT). Further investigations excluded infectious hepatitis, autoimmune disease, or structural liver disease. Exclusion of other causes of DILI and cessation of ciprofloxacin resulted in clinical improvement and normalization of liver function tests (LFTs). Case 2: An 82-year-old man was treated with ciprofloxacin for osteomyelitis. On the tenth day of ciprofloxacin treatment, he developed jaundice and abnormal LFTs, including increased AST, ALT, alkaline phosphatase (ALP), and total bilirubin. Further investigations excluded infectious hepatitis, autoimmune disease, or structural liver disease. Exclusion of other causes of DILI and cessation of ciprofloxacin resulted in clinical improvement and normalization of LFTs. CONCLUSIONS Idiosyncratic DILI due to ciprofloxacin treatment is rare. These two cases have shown that timely diagnosis and discontinuation of ciprofloxacin can prevent the progression of DILI, reduce liver damage, and reduce mortality rates from DILI.

Indexed as

AdultAged, 80 and overAnti-Bacterial AgentsChemical and Drug Induced Liver InjuryCiprofloxacinHumansMaleOrbital CellulitisOsteomyelitisAnti-Bacterial AgentsCiprofloxacin

Identifiers

PMID30266895
PMCPMC6181557
OpenAlexW2893659495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.