Cefoperazone Induced Gastrointestinal Bleeding
- PMID: 27656491
- PMCID: PMC5028500
- DOI: 10.7860/JCDR/2016/19694.8316
Cefoperazone Induced Gastrointestinal Bleeding
Abstract
Cefoperazone is a beta-lactam antibiotic which is frequently used in treating a variety of gram positive and gram negative infections. The chemical structure of cefoperazone contains a side chain of N-methylthiotetrazole which can inhibit vitamin K metabolism resulting in hypoprothombinemia. We report a case of cefoperazone induced coagulopathy manifesting as gastrointestinal bleeding. A Naranjo assessment score of 5 was obtained, indicating a probable relationship between the patient's coagulation function disorder and her use of the suspect drug.
Keywords: Cefoperazone; Coagulopathy; Vitamin K.
Similar articles
-
Fatal Vitamin K-Dependent Coagulopathy Associated with Cefoperazone/Sulbactam: A Case Report.Drug Saf Case Rep. 2019 Jun 14;6(1):6. doi: 10.1007/s40800-019-0100-0. Drug Saf Case Rep. 2019. PMID: 31201572 Free PMC article.
-
Cefoperazone/Sulbactam-Induced Abdominal Wall Hematoma and Upper Gastrointestinal Bleeding: A Case Report and Review of the Literature.Drug Saf Case Rep. 2016 Dec;3(1):2. doi: 10.1007/s40800-016-0025-9. Drug Saf Case Rep. 2016. PMID: 27747682 Free PMC article.
-
Cefoperazone-induced Coagulopathy in Critically Ill Patients Admitted to Intensive Care Unit.Indian J Crit Care Med. 2023 Mar;27(3):183-189. doi: 10.5005/jp-journals-10071-24417. Indian J Crit Care Med. 2023. PMID: 36960109 Free PMC article.
-
Safety of parenteral third-generation cephalosporins.Am J Med. 1990 Apr 9;88(4A):38S-44S. doi: 10.1016/0002-9343(90)90326-9. Am J Med. 1990. PMID: 2183609 Review.
-
Cefoperazone (Cefobid, Pfizer).Drug Intell Clin Pharm. 1983 Jan;17(1):7-11. doi: 10.1177/106002808301700102. Drug Intell Clin Pharm. 1983. PMID: 6218974 Review.
Cited by
-
Severe coagulopathy caused by cefminox sodium in a liver cirrhosis patient: a case report.Infect Agent Cancer. 2022 Jun 16;17(1):30. doi: 10.1186/s13027-022-00446-y. Infect Agent Cancer. 2022. PMID: 35710562 Free PMC article.
-
An overview of cephalosporin antibiotics as emerging contaminants: a serious environmental concern.3 Biotech. 2019 Jun;9(6):231. doi: 10.1007/s13205-019-1766-9. Epub 2019 May 24. 3 Biotech. 2019. PMID: 31139546 Free PMC article. Review.
-
Fatal Vitamin K-Dependent Coagulopathy Associated with Cefoperazone/Sulbactam: A Case Report.Drug Saf Case Rep. 2019 Jun 14;6(1):6. doi: 10.1007/s40800-019-0100-0. Drug Saf Case Rep. 2019. PMID: 31201572 Free PMC article.
-
Cefoperazone-Sulbactam-Induced Coagulopathy in Critically Ill Egyptian Patients: Role of Vitamin K Prophylactic Doses.Hosp Pharm. 2024 Oct;59(5):575-583. doi: 10.1177/00185787241238310. Epub 2024 Mar 13. Hosp Pharm. 2024. PMID: 39318741
References
-
- Obata H, Iizuka B, Uchida K. Pathogenesis of hypoprothrombinemia induced by antibiotics. J Nutr Sci Vitaminol (Tokyo) 1992:421–24. - PubMed
-
- Klein NC, Cunha BA. Third-generation cephalosporins. Med Clin North Am. 1995;79(4):705–19. - PubMed
-
- Shearer MJ, Bechtold H, Andrassy K, Koderisch J, McCarthy PT, Trenk D, et al. Mechanism of cephalosporin-induced hypoprothrombinemia: relation to cephalosporin side chain, vitamin K metabolism, and vitamin K status. J Clin Pharmacol. 1988;28(1):88–95. - PubMed
-
- Shearer MJ. Vitamin K deficiency bleeding (VKDB) in early infancy. Blood Rev. 2009;23(2):49–59. - PubMed
-
- Cristiano P. Hypoprothrombinemia associated with cefoperazone treatment. Drug Intell Clin Pharm. 1984;18(4):314–16. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources