Table 2.
Cases of anaphylaxis (n = 6) associated with administration of repeated courses of rasburicase (n = 97)
Diagnosis | Total number of courses | Total rasburicase exposure [mg] | Comorbid conditions prior to rasburicase administration | Time between first course and anaphylaxis [days] | Time between rasburicase administration and anaphylaxis [minutes] | Intensive care unit admission | Intubation and cardiac arrest | Death |
---|---|---|---|---|---|---|---|---|
Multiple myeloma | 2 | 6 | End-stage renal disease, pancytopenia, fever, hypertension, mucositis, kyphoscoliosis | 22 | 112 | Yes | Yes | No |
Chronic myeloproliferative disorder | 2 | 6 | Asthma, chronic kidney disease, deep vein thrombosis, chronic pain, insomnia | 21 | 337 | Yes | Yes | Yes |
Multiple myeloma | 2 | 9 | Pneumonia, acute kidney injury, urinary tract infection | 695 | 40 | No | No | No |
Multiple myeloma | 3 | 12 | Acute kidney injury, hypotension, pneumonia, urinary tract infection | 319 | 10 | No | No | No |
Multiple myeloma | 2 | 6 | Decompensated congestive heart failure, peripheral neuropathy, chronic kidney disease | 150 | <10 | No | No | No |
Multiple myeloma | 4 | 18 | Hypertension, pancytopenia, acute kidney injury, type 2 diabetes mellitus, anxiety, depression | 335 | 59 | Yes | No | No |