抄録
Pivoxil-containing cephalosporins can result in symptomatic hypocarnitinemia in children. We herein report a case of an 85-year-old man at risk of carnitine deficiency who developed relapsing symptomatic hypoglycemia after treatment with cefcapene pivoxil for urinary tract infection. On admission, laboratory tests showed low blood carnitine concentrations with low normal blood ketone levels. The patient was successfully treated by the oral administration of levocarnitine and dietary modification, including aggressive consumption of meat and dairy products, and remained symptom-free for nine months after the correction of carnitine concentrations. Healthcare providers should be cautious when prescribing pivoxil-containing antimicrobials to patients at high risk of hypocarnitinemia.
| 元の言語 | English |
|---|---|
| ページ（範囲） | 2891-2894 |
| ページ数 | 4 |
| ジャーナル | Internal Medicine |
| 巻 | 58 |
| 発行部数 | 19 |
| DOI | |
| 出版物ステータス | Published - 01-01-2019 |
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All Science Journal Classification (ASJC) codes
- Internal Medicine
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Relapsing hypoglycemia associated with hypocarnitinemia following treatment with cefcapene pivoxil in an elderly man. / Hanai, Shogo; Iwata, Mitsunaga; Terasawa, Teruhiko.
：: Internal Medicine, 巻 58, 番号 19, 01.01.2019, p. 2891-2894.研究成果: Article
TY - JOUR
T1 - Relapsing hypoglycemia associated with hypocarnitinemia following treatment with cefcapene pivoxil in an elderly man
AU - Hanai, Shogo
AU - Iwata, Mitsunaga
AU - Terasawa, Teruhiko
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Pivoxil-containing cephalosporins can result in symptomatic hypocarnitinemia in children. We herein report a case of an 85-year-old man at risk of carnitine deficiency who developed relapsing symptomatic hypoglycemia after treatment with cefcapene pivoxil for urinary tract infection. On admission, laboratory tests showed low blood carnitine concentrations with low normal blood ketone levels. The patient was successfully treated by the oral administration of levocarnitine and dietary modification, including aggressive consumption of meat and dairy products, and remained symptom-free for nine months after the correction of carnitine concentrations. Healthcare providers should be cautious when prescribing pivoxil-containing antimicrobials to patients at high risk of hypocarnitinemia.
AB - Pivoxil-containing cephalosporins can result in symptomatic hypocarnitinemia in children. We herein report a case of an 85-year-old man at risk of carnitine deficiency who developed relapsing symptomatic hypoglycemia after treatment with cefcapene pivoxil for urinary tract infection. On admission, laboratory tests showed low blood carnitine concentrations with low normal blood ketone levels. The patient was successfully treated by the oral administration of levocarnitine and dietary modification, including aggressive consumption of meat and dairy products, and remained symptom-free for nine months after the correction of carnitine concentrations. Healthcare providers should be cautious when prescribing pivoxil-containing antimicrobials to patients at high risk of hypocarnitinemia.
UR - http://www.scopus.com/inward/record.url?scp=85072945461&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072945461&partnerID=8YFLogxK
U2 - 10.2169/internalmedicine.2339-18
DO - 10.2169/internalmedicine.2339-18
M3 - Article
C2 - 31243204
AN - SCOPUS:85072945461
VL - 58
SP - 2891
EP - 2894
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 19
ER -