Quinine-Induced Disseminated Intravascular Coagulation

Every drug comes with some side effect. It is the benefit/risk ratio that determines the medical use of the drug. Quinine, a known antimalarial drug, has been used for nocturnal leg cramps since the 1930s; it is associated with severe life-threatening hematological and cardiovascular side effects. D...

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Main Authors: Firas Abed, Ramkaji Baniya, Ghassan Bachuwa
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/9136825
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author Firas Abed
Ramkaji Baniya
Ghassan Bachuwa
author_facet Firas Abed
Ramkaji Baniya
Ghassan Bachuwa
author_sort Firas Abed
collection DOAJ
description Every drug comes with some side effect. It is the benefit/risk ratio that determines the medical use of the drug. Quinine, a known antimalarial drug, has been used for nocturnal leg cramps since the 1930s; it is associated with severe life-threatening hematological and cardiovascular side effects. Disseminated intravascular coagulation (DIC), albeit rare, is a known coagulopathy associated with Quinine. It is imperative to inquire about the Quinine intake in medication history in patients with coagulopathy, as most patients still consider it a harmless home remedy for nocturnal leg cramps. In this report, we present a case of coagulopathy in a middle-aged woman, who gave a history of taking Quinine for nocturnal leg cramps, as her home remedy. Early identification of the offending agent led to the diagnosis, prompt discontinuation of the medication, and complete recovery and prevented the future possibility of recurrence.
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spelling doaj-art-10f5e0561d1e4a8f96eceb9f623118d42025-08-20T02:02:20ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/91368259136825Quinine-Induced Disseminated Intravascular CoagulationFiras Abed0Ramkaji Baniya1Ghassan Bachuwa2Hurley Medical Center, College of Human Medicine, Michigan State University, Flint, MI, USAHurley Medical Center, College of Human Medicine, Michigan State University, Flint, MI, USAHurley Medical Center, College of Human Medicine, Michigan State University, Flint, MI, USAEvery drug comes with some side effect. It is the benefit/risk ratio that determines the medical use of the drug. Quinine, a known antimalarial drug, has been used for nocturnal leg cramps since the 1930s; it is associated with severe life-threatening hematological and cardiovascular side effects. Disseminated intravascular coagulation (DIC), albeit rare, is a known coagulopathy associated with Quinine. It is imperative to inquire about the Quinine intake in medication history in patients with coagulopathy, as most patients still consider it a harmless home remedy for nocturnal leg cramps. In this report, we present a case of coagulopathy in a middle-aged woman, who gave a history of taking Quinine for nocturnal leg cramps, as her home remedy. Early identification of the offending agent led to the diagnosis, prompt discontinuation of the medication, and complete recovery and prevented the future possibility of recurrence.http://dx.doi.org/10.1155/2016/9136825
spellingShingle Firas Abed
Ramkaji Baniya
Ghassan Bachuwa
Quinine-Induced Disseminated Intravascular Coagulation
Case Reports in Medicine
title Quinine-Induced Disseminated Intravascular Coagulation
title_full Quinine-Induced Disseminated Intravascular Coagulation
title_fullStr Quinine-Induced Disseminated Intravascular Coagulation
title_full_unstemmed Quinine-Induced Disseminated Intravascular Coagulation
title_short Quinine-Induced Disseminated Intravascular Coagulation
title_sort quinine induced disseminated intravascular coagulation
url http://dx.doi.org/10.1155/2016/9136825
work_keys_str_mv AT firasabed quinineinduceddisseminatedintravascularcoagulation
AT ramkajibaniya quinineinduceddisseminatedintravascularcoagulation
AT ghassanbachuwa quinineinduceddisseminatedintravascularcoagulation