Abstract
Amphotericin B was given to six patients with systemic fungal infections. A dose averaging 1.78 g, administered from 42 to 144 days, was associated with a fall in hematocrit to a mean value of 25.8%. Despite this degree of anemia, no elevation of erythropoietin concentrations in urine or serum could be detected. Thus, amphotericin appears to cause anemia by inhibiting erythropoietin production rather than by suppressing bone marrow activity directly.
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- Adamson J. W. The erythropoietin-hematocrit relationship in normal and polycythemic man: implications of marrow regulation. Blood. 1968 Oct;32(4):597–609. [PubMed] [Google Scholar]
- BRANDRISS M. W., WOLFF S. M., MOORES R., STOHLMAN F., Jr ANEMIA INDUCED BY AMPHOTERICIN B. JAMA. 1964 Aug 31;189:663–666. doi: 10.1001/jama.1964.03070090013003. [DOI] [PubMed] [Google Scholar]
- BUTLER W. T., BENNETT J. E., ALLING D. W., WERTLAKE P. T., UTZ J. P., HILL G. J., 2nd NEPHROTOXICITY OF AMPHOTERICIN B; EARLY AND LATE EFFECTS IN 81 PATIENTS. Ann Intern Med. 1964 Aug;61:175–187. doi: 10.7326/0003-4819-61-2-175. [DOI] [PubMed] [Google Scholar]
- Bennett J. E. Chemotherapy of systemic mycoses (first of two parts). N Engl J Med. 1974 Jan 3;290(1):30–32. doi: 10.1056/NEJM197401032900107. [DOI] [PubMed] [Google Scholar]
- Cartwright G. E., Lee G. R. The anaemia of chronic disorders. Br J Haematol. 1971 Aug;21(2):147–152. doi: 10.1111/j.1365-2141.1971.tb03424.x. [DOI] [PubMed] [Google Scholar]
- Douglas S. W., Adamson J. W. The anemia of chronic disorders: studies of marrow regulation and iron metabolism. Blood. 1975 Jan;45(1):55–65. [PubMed] [Google Scholar]
- HOLEMAN C. W., Jr, EINSTEIN H. The toxic effects of amphotericin B in man. Calif Med. 1963 Aug;99:90–93. [PMC free article] [PubMed] [Google Scholar]
- Miller R. P., Bates J. H. Amphotericin B toxicity. A follow-up report of 53 patients. Ann Intern Med. 1969 Dec;71(6):1089–1095. doi: 10.7326/0003-4819-71-6-1089. [DOI] [PubMed] [Google Scholar]
- Zucker S., Friedman S., Lysik R. M. Bone marrow erythropoiesis in the anemia of infection, inflammation, and malignancy. J Clin Invest. 1974 Apr;53(4):1132–1138. doi: 10.1172/JCI107651. [DOI] [PMC free article] [PubMed] [Google Scholar]