Table 1.
Clinical and causality characteristics of cefazolin induced liver injury (n = 19)
Feature | No (%) |
---|---|
Age (median-years) | 53 |
Female | 8 (42%) |
BMI (median-kg/m2) | 26 |
Prior history of any drug allergy | 9 (47) |
Heavy alcohol use* | 12 (63) |
Diabetes mellitus | 5 (26) |
Hepatitis C (HCV RNA positive) | 1 (5) |
Time from administration to symptom onset | |
< 1 week | 3 (16) |
2–4 weeks | 13 (68) |
> 4 weeks | 3 (16) |
Time to first laboratory abnormality | |
< 1 week | 1 |
1–2 weeks | 5 |
3–4 weeks | 13 |
Jaundice | 18 (95) |
Itching | 19 (100) |
Nausea | 15 (79) |
Abdominal pain | 5 (26) |
Rash | 6 (32) |
Fever | 9 (47) |
Eosinophilia | 5 (26) |
Hospitalization | 11(69) |
Severity | |
Mild | 1 (5) |
Moderate | 6 (32) |
Moderate & hospitalized | 10 (53) |
Severe | 2 (11) |
Fatal | 0 |
Causality | |
Probable | 1(5) |
Highly likely | 16 (84) |
Definite | 2 (11) |
Persistent abnormal liver tests more than 6 months | 3 (16) |
BMI, body mass index
>2 drinks/day in men and >1 drink/day women