Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review

Pericarditis/pericardial effusion (PC/PEEF) is a rare but fatal complication of cytosine arabinoside (Ara-C). We report an acute myeloid leukemia (AML) patient who developed massive pericardial effusion after a second Ara-C exposure. As Ara-C was most beneficial in controlling the leukemia, she was...

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Main Authors: Weerapat Owattanapanich, Theera Ruchutrakool
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2018/4726451
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author Weerapat Owattanapanich
Theera Ruchutrakool
author_facet Weerapat Owattanapanich
Theera Ruchutrakool
author_sort Weerapat Owattanapanich
collection DOAJ
description Pericarditis/pericardial effusion (PC/PEEF) is a rare but fatal complication of cytosine arabinoside (Ara-C). We report an acute myeloid leukemia (AML) patient who developed massive pericardial effusion after a second Ara-C exposure. As Ara-C was most beneficial in controlling the leukemia, she was treated with a further cycle of Ara-C along with dexamethasone to prevent the complication from reoccurring. No PC/PEEF was subsequently detected.
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institution Kabale University
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spelling doaj-art-f232fde508ab4495ac1c5396aceda7722025-02-03T00:59:25ZengWileyCase Reports in Hematology2090-65602090-65792018-01-01201810.1155/2018/47264514726451Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature ReviewWeerapat Owattanapanich0Theera Ruchutrakool1Division of Hematology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Hematology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandPericarditis/pericardial effusion (PC/PEEF) is a rare but fatal complication of cytosine arabinoside (Ara-C). We report an acute myeloid leukemia (AML) patient who developed massive pericardial effusion after a second Ara-C exposure. As Ara-C was most beneficial in controlling the leukemia, she was treated with a further cycle of Ara-C along with dexamethasone to prevent the complication from reoccurring. No PC/PEEF was subsequently detected.http://dx.doi.org/10.1155/2018/4726451
spellingShingle Weerapat Owattanapanich
Theera Ruchutrakool
Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
Case Reports in Hematology
title Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
title_full Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
title_fullStr Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
title_full_unstemmed Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
title_short Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review
title_sort prevention of high dose cytosine arabinoside induced acute pericarditis with preemptive dexamethasone administration a case report and literature review
url http://dx.doi.org/10.1155/2018/4726451
work_keys_str_mv AT weerapatowattanapanich preventionofhighdosecytosinearabinosideinducedacutepericarditiswithpreemptivedexamethasoneadministrationacasereportandliteraturereview
AT theeraruchutrakool preventionofhighdosecytosinearabinosideinducedacutepericarditiswithpreemptivedexamethasoneadministrationacasereportandliteraturereview