Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1971 Sep 11;3(5775):610–612. doi: 10.1136/bmj.3.5775.610

Leucopenia Associated with Trimethoprim-Sulphamethoxazole after Renal Transplantation

B Hulme, D S Reeves
PMCID: PMC1798766  PMID: 4936539

Abstract

Four patients who had received cadaveric renal allografts developed a profound and sustained leucopenia in association with a trimethoprim-sulphamethoxazole preparation. Ten other cadaveric renal allograft recipients received identical chemotherapy with no adverse effects. Statistical analysis showed that the association of leucopenia and trimethoprim-sulphamethoxazole therapy was dependent on the time after the transplantation procedure and was not related to the dosage of immunosuppressive chemotherapy or renal function.

Full text

PDF
610

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ghilchik M. W., Morris A. S., Reeves D. S. Immunosuppressive powers of the antibacterial agent trimethoprim. Nature. 1970 Jul 25;227(5256):393–394. doi: 10.1038/227393a0. [DOI] [PubMed] [Google Scholar]
  2. Hitchings G. H., Burchall J. J. Inhibition of folate biosynthesis and function as a basis for chemotherapy. Adv Enzymol Relat Areas Mol Biol. 1965;27:417–468. doi: 10.1002/9780470122723.ch9. [DOI] [PubMed] [Google Scholar]
  3. McCarthy O. R. Neutropenia after trimethoprism-sulphamethoxazole for bronchitis. Br Med J. 1969 Jul 12;3(5662):113–114. doi: 10.1136/bmj.3.5662.113-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Mitchell C. G., Eddleston A. L., Smith M. G., Williams R. Serum immunosuppressive activity due to azathioprine and its relation to hepatic function after liver transplantation. Lancet. 1970 Jun 6;1(7658):1196–1199. doi: 10.1016/s0140-6736(70)91786-1. [DOI] [PubMed] [Google Scholar]
  5. Mohan P. Thrombocytopenia and agranulocytosis following "septrin". Practitioner. 1969 Apr;202(210):553–554. [PubMed] [Google Scholar]
  6. Mowbray J. F., Cohen S. L., Doak P. B., Kenyon J. R., Owen K., Percival A., Porter K. A., Peart W. S. Human cadaveric renal transplantation. Report of twenty cases. Br Med J. 1965 Dec 11;2(5475):1387–1394. doi: 10.1136/bmj.2.5475.1387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Pletka P., Kenyon J. R., Snell M., Cohen S. L., Owen K., Mowbray J. F., Hulme B., Thompson A. E., Porter K. A., Leigh D. A. Cadaveric renal transplantation. An analysis of 65 cases. Lancet. 1969 Jan 4;1(7584):1–6. doi: 10.1016/s0140-6736(69)90981-7. [DOI] [PubMed] [Google Scholar]
  8. Reeves D. S., Faiers M. C., Pursell R. E., Brumfitt W. Trimethoprim--sulphamethoxazole: comparative study in urinary infection in hospital. Br Med J. 1969 Mar 1;1(5643):541–544. doi: 10.1136/bmj.1.5643.541. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES