Abstract
Gross electrolyte disturbances including hypokalaemia, hypomagnesaemia, hypocalcaemia, and alkalosis have developed in tuberculous patients who were being treated with capreomycin. Similar abnormalities have also occurred when the drug gentamicin was used and were found to be due to secondary hyperaldosteronism. In this paper a detailed description of the changes induced by capreomycin is given. The evidence available strongly suggests a similar aetiology for the biochemical changes, but the precise pathophysiology is unknown. Caution should be exercised when capreomycin is used and the drug should be withdrawn if any of these abnormalities develop.
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Selected References
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- Brown J. J., Davies D. L., Lever A. F., Robertson J. I., Tree M. The estimation of renin in human plasma. Biochem J. 1964 Dec;93(3):594–600. doi: 10.1042/bj0930594. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Deutsch S., Goldberg M., Dripps R. D. Postoperative hyponatremia with the inappropriate release of antidiuretic hormone. Anesthesiology. 1966 May-Jun;27(3):250–256. [PubMed] [Google Scholar]
- MATTINGLY D. A simple fluorimetric method for the estimation of free 11-hydroxycorticoids in human plasma. J Clin Pathol. 1962 Jul;15:374–379. doi: 10.1136/jcp.15.4.374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MORAN W. H., Jr, MILTENBERGER F. W., SHUAYB W. A., ZIMMERMANN B. THE RELATIONSHIP OF ANTIDIURETIC HORMONE SECRETION TO SURGICAL STRESS. Surgery. 1964 Jul;56:99–108. [PubMed] [Google Scholar]
- Miller J. D., Popplewell A. G., Landwehr A., Greene M. E. Toxicology studies in patients on prolonged therapy with capreomycin. Ann N Y Acad Sci. 1966 Apr 20;135(2):1047–1056. doi: 10.1111/j.1749-6632.1966.tb45545.x. [DOI] [PubMed] [Google Scholar]
- STANBURY S. W., LUMB G. A. Metabolic studies of renal osteodystrophy. I. Calcium, phosphorus and nitrogen metabolism in rickets, osteomalacia and hyperparathyroidism complicating chronic uremia and in the osteomalacia of the adult Fanconi syndrome. Medicine (Baltimore) 1962 Feb;41:1–34. [PubMed] [Google Scholar]
- Shils M. E. Experimental human magnesium depletion. Medicine (Baltimore) 1969 Jan;48(1):61–85. doi: 10.1097/00005792-196901000-00003. [DOI] [PubMed] [Google Scholar]
- WERNER C. A., TOMPSETT R., MUSCHENHEIM C., McDERMOTT W. The toxicity of viomycin in humans. Am Rev Tuberc. 1951 Jan;63(1):49–61. doi: 10.1164/art.1951.63.1.49. [DOI] [PubMed] [Google Scholar]
- Weiss H., Katz S. Hyponatremia resulting from apparently inappropriate secretion of antidiuretic hormone in patients with pulmonary tuberculosis. Am Rev Respir Dis. 1965 Oct;92(4):609–616. doi: 10.1164/arrd.1965.92.4.609. [DOI] [PubMed] [Google Scholar]
- Welles J. S., Harris P. N., Small R. M., Worth H. M., Anderson R. C. The toxicity of capreomycin in laboratory animals. Ann N Y Acad Sci. 1966 Apr 20;135(2):960–973. doi: 10.1111/j.1749-6632.1966.tb45537.x. [DOI] [PubMed] [Google Scholar]
- Yue W. Y., Cohen S. S. Toxic nephritis with acute renal insufficiency caused by administration of capreomycin. Case report with necropsy findings. Dis Chest. 1966 May;49(5):549–551. doi: 10.1378/chest.49.5.549. [DOI] [PubMed] [Google Scholar]
