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. 1983 Jan;23(1):59–62. doi: 10.1128/aac.23.1.59

Nafcillin-induced platelet dysfunction and bleeding.

D P Alexander, M E Russo, D E Fohrman, G Rothstein
PMCID: PMC184617  PMID: 6830209

Abstract

This paper describes two cases of nafcillin-induced platelet dysfunction, with positive rechallenge data for one patient. Nafcillin resulted in abnormal bleeding times in both patients and a clinically apparent bleeding episode in one of the cases. Platelet function tests were performed on one patient during the initial therapy and after rechallenge with nafcillin. Platelet aggregation showed abnormal responses to ADP, collagen, and epinephrine. Platelet count and morphology were normal. Nafcillin should be recognized as another antibiotic which causes platelet function abnormalities and clinical bleeding episodes.

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Selected References

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

  1. Andrassy K., Ritz E., Hasper B., Scherz M., Walter E., Storch H. Penicillin-induced coagulation disorder. Lancet. 1976 Nov 13;2(7994):1039–1041. doi: 10.1016/s0140-6736(76)90963-6. [DOI] [PubMed] [Google Scholar]
  2. Brown C. H., 3rd, Bradshaw M. J., Natelson E. A., Alfrey C. P., Jr, Williams T. W., Jr Defective platelet function following the administration of penicillin compounds. Blood. 1976 Jun;47(6):949–956. [PubMed] [Google Scholar]
  3. Brown C. H., 3rd, Natelson E. A., Bradshaw M. W., Alfrey C P., Jr, Williams T. W., Jr Study of the effects of ticarcillin on blood coagulation and platelet function. Antimicrob Agents Chemother. 1975 May;7(5):652–657. doi: 10.1128/aac.7.5.652. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Brown C. H., 3rd, Natelson E. A., Bradshaw W., Williams T. W., Jr, Alfrey C. P., Jr The hemostatic defect produced by carbenicillin. N Engl J Med. 1974 Aug 8;291(6):265–270. doi: 10.1056/NEJM197408082910601. [DOI] [PubMed] [Google Scholar]
  5. Bull B. S., Schneiderman M. A., Brecher G. Platelet counts with the Coulter counter. Am J Clin Pathol. 1965 Dec;44(6):678–688. doi: 10.1093/ajcp/44.6.678. [DOI] [PubMed] [Google Scholar]
  6. Custer G. M., Briggs B. R., Smith R. E. Effect of cefamandole nafate on blood coagulation and platelet function. Antimicrob Agents Chemother. 1979 Dec;16(6):869–872. doi: 10.1128/aac.16.6.869. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Day H. J., Holmsen H. Laboratory tests of platelet function. Ann Clin Lab Sci. 1972 Jan-Feb;2(1):63–74. [PubMed] [Google Scholar]
  8. Gentry L. O., Jemsek J. G., Natelson E. A. Effects of sodium piperacillin on platelet function in normal volunteers. Antimicrob Agents Chemother. 1981 Apr;19(4):532–533. doi: 10.1128/aac.19.4.532. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Haburchak D. R., Head D. R., Everett E. D. Postoperative hemorrhage associated with carbenicillin administration. Report of two cases and review of the literature. Am J Surg. 1977 Nov;134(5):630–634. doi: 10.1016/0002-9610(77)90451-2. [DOI] [PubMed] [Google Scholar]
  10. Johnson G. J., Rao G. H., White J. G. Platelet dysfunction induced by parenteral carbenicillin and ticarcillin. Studies of the dose-response relationship and mechanism of action in dogs. Am J Pathol. 1978 Apr;91(1):85–106. [PMC free article] [PubMed] [Google Scholar]
  11. Lederer D. A., Davies T., Connell G., Davies J. A., McNicol G. P. The effect of carbenicillin on the haemostatic mechanism. J Pharm Pharmacol. 1973 Nov;25(11):876–880. doi: 10.1111/j.2042-7158.1973.tb09966.x. [DOI] [PubMed] [Google Scholar]
  12. Mielke C. H., Jr, Kaneshiro M. M., Maher I. A., Weiner J. M., Rapaport S. I. The standardized normal Ivy bleeding time and its prolongation by aspirin. Blood. 1969 Aug;34(2):204–215. [PubMed] [Google Scholar]
  13. Natelson E. A., Brown C. H., 3rd, Bradshaw M. W., Alfrey C. P., Jr, Williams T. W., Jr Influence of cephalosporin antibiotics on blood coagulation and platelet function. Antimicrob Agents Chemother. 1976 Jan;9(1):91–93. doi: 10.1128/aac.9.1.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. PROCTOR R. R., RAPAPORT S. I. The partial thromboplastin time with kaolin. A simple screening test for first stage plasma clotting factor deficiencies. Am J Clin Pathol. 1961 Sep;36:212–219. doi: 10.1093/ajcp/36.3.212. [DOI] [PubMed] [Google Scholar]
  15. Pakter R. L., Russell T. R., Mielke C. H., West D. Coagulopathy associated with the use of moxalactam. JAMA. 1982 Sep 3;248(9):1100–1100. [PubMed] [Google Scholar]

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