Linezolid-Induced Myelosuppression

Linezolid is an antibiotic effective against resistant gram-positive bacteria. While side effects are typically mild, myelosuppression can occur, with pancytopenia being a rare but serious condition. We report on a 94-year-old woman who developed pancytopenia following linezolid treatment of celluli...

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Main Authors: Kristiana Jordan, Kristen D. Kelley
Format: Article
Language:English
Published: American College of Physicians 2024-08-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0263
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author Kristiana Jordan
Kristen D. Kelley
author_facet Kristiana Jordan
Kristen D. Kelley
author_sort Kristiana Jordan
collection DOAJ
description Linezolid is an antibiotic effective against resistant gram-positive bacteria. While side effects are typically mild, myelosuppression can occur, with pancytopenia being a rare but serious condition. We report on a 94-year-old woman who developed pancytopenia following linezolid treatment of cellulitis and myositis. Despite initial stability, her condition necessitated rehospitalization. Hematologic recovery ensued after linezolid was discontinued. This case highlights the need for awareness of linezolid-induced myelosuppression, especially with risk factors like advanced age and sodium–glucose cotransporter-2 inhibitor use. Clinicians should monitor for hematologic adverse effects of linezolid, especially in patients with associated risk profiles.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-897bb69b719a46639a2f5ebc1f90bcf02025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-08-013810.7326/aimcc.2024.0263Linezolid-Induced MyelosuppressionKristiana Jordan0Kristen D. Kelley11The University of California Davis School of Medicine, Sacramento, California2Division of General Internal Medicine, Department of Internal Medicine University of California Davis, Sacramento, CaliforniaLinezolid is an antibiotic effective against resistant gram-positive bacteria. While side effects are typically mild, myelosuppression can occur, with pancytopenia being a rare but serious condition. We report on a 94-year-old woman who developed pancytopenia following linezolid treatment of cellulitis and myositis. Despite initial stability, her condition necessitated rehospitalization. Hematologic recovery ensued after linezolid was discontinued. This case highlights the need for awareness of linezolid-induced myelosuppression, especially with risk factors like advanced age and sodium–glucose cotransporter-2 inhibitor use. Clinicians should monitor for hematologic adverse effects of linezolid, especially in patients with associated risk profiles.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0263
spellingShingle Kristiana Jordan
Kristen D. Kelley
Linezolid-Induced Myelosuppression
Annals of Internal Medicine: Clinical Cases
title Linezolid-Induced Myelosuppression
title_full Linezolid-Induced Myelosuppression
title_fullStr Linezolid-Induced Myelosuppression
title_full_unstemmed Linezolid-Induced Myelosuppression
title_short Linezolid-Induced Myelosuppression
title_sort linezolid induced myelosuppression
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.0263
work_keys_str_mv AT kristianajordan linezolidinducedmyelosuppression
AT kristendkelley linezolidinducedmyelosuppression