CARDIOVASCULAR COLLAPSE FOLLOWING ORTHOCLONE OKT3 ADMINISTRATION - A CASE-REPORT

被引:15
作者
LEE, CW
LOGAN, JL
ZUKOSKI, CF
机构
[1] VET ADM MED CTR,RENAL TRANSPLANT SERV,TUCSON,AZ 85723
[2] UNIV ARIZONA,COLL MED,DEPT INTERNAL MED,TUCSON,AZ 85721
[3] UNIV ARIZONA,COLL MED,DEPT SURG,TUCSON,AZ 85721
关键词
OKT3; ADVERSE EFFECTS; TRANSPLANTATION; KIDNEY;
D O I
10.1016/S0272-6386(12)80254-X
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Orthoclone OKT3 has been described to have significant adverse effects on the cardiovascular system, including pulmonary edema, angina, dysrhythmias, hypertension, and hypotension, usually following the first or second doses of the drug. We describe a case of cardiopulmonary arrest in a patient 1 minute after the initial injection of OKT3. Two subsequent doses were successfully administered with the guidance of hemodynamic monitoring, which showed profound, immediate effects of OKT3 on the cardiovascular system. Potential mechanisms of these effects are discussed. © 1991, National Kidney Foundation, Inc.. All rights reserved.
引用
收藏
页码:73 / 75
页数:3
相关论文
共 10 条
[1]  
CHATENOUD L, 1989, NEW ENGL J MED, V320, P1420
[2]  
COSIMI AB, 1987, NEPHRON, V46, P12
[3]  
KAHANA L, 1987, NEPHRON S1, V46, P41
[4]   ENDOTOXIN AND TUMOR NECROSIS FACTOR CHALLENGES IN DOGS SIMULATE THE CARDIOVASCULAR PROFILE OF HUMAN SEPTIC SHOCK [J].
NATANSON, C ;
EICHENHOLZ, PW ;
DANNER, RL ;
EICHACKER, PQ ;
HOFFMAN, WD ;
KUO, GC ;
BANKS, SM ;
MACVITTIE, TJ ;
PARRILLO, JE .
JOURNAL OF EXPERIMENTAL MEDICINE, 1989, 169 (03) :823-832
[5]   THERAPEUTIC USE OF OKT3 MONOCLONAL-ANTIBODY FOR ACUTE RENAL-ALLOGRAFT REJECTION [J].
NORMAN, DJ ;
SHIELD, CF ;
BARRY, JM ;
HENELL, K ;
FUNNELL, MB ;
LEMON, J .
NEPHRON, 1987, 46 :41-47
[6]   INTERLEUKIN-1 INDUCES A SHOCK-LIKE STATE IN RABBITS - SYNERGISM WITH TUMOR NECROSIS FACTOR AND THE EFFECT OF CYCLOOXYGENASE INHIBITION [J].
OKUSAWA, S ;
GELFAND, JA ;
IKEJIMA, T ;
CONNOLLY, RJ ;
DINARELLO, CA .
JOURNAL OF CLINICAL INVESTIGATION, 1988, 81 (04) :1162-1172
[7]  
THISTLEWAITE JR, 1988, AM J KIDNEY DIS, V1, P112
[8]   SHOCK AND TISSUE-INJURY INDUCED BY RECOMBINANT HUMAN CACHECTIN [J].
TRACEY, KJ ;
BEUTLER, B ;
LOWRY, SF ;
MERRYWEATHER, J ;
WOLPE, S ;
MILSARK, IW ;
HARIRI, RJ ;
FAHEY, TJ ;
ZENTELLA, A ;
ALBERT, JD ;
SHIRES, GT ;
CERAMI, A .
SCIENCE, 1986, 234 (4775) :470-474
[9]  
WAYMACK JP, 1987, LANCET, V1, P984
[10]  
1985, NEW ENGL J MED, V313, P337