TY - JOUR
PY - 2007//
TI - Colchicine related pancytopenia unresponsive to granulocyte colony stimulating factor
JO - Case Reports and Clinical Practice Review
A1 - Sedat, K.
A1 - Alper, K.
A1 - Haktan, K.
A1 - Selim, T.
SP - 13
EP - 15
VL - 8
IS -
N2 - BACKGROUND: Colchicine overdose is uncommon but extremely serious and it is associated with considerable mortality. Previous reports have shown that granulocyte colony-stimulating factor therapy was an effective method of treating the colchicine related pancytopenia. Case Reports: We describe a case of suicidal ingestion of 15 mg of colchicine in a previously healthy 23-yearsold woman. During nasogastric tube insertion, nasal bleeding developed in the emergency room and stopped after anterior nasal tamponage. Following days, patient's platelet counts decreased to 14.9 K/UL due to bone marrow suppression. In spite of all therapeutic approach including granulocyte colony-stimulating factor, our patient died on 5th day due to severe bleeding.
CONCLUSIONS: Bone marrow suppression may be resistant to granulocyte colony-stimulating factor in colchicine poisoning. We recommend that all invasive procedures were performed more carefully in patient doubted colchicine ingestion.
Language: en
LA - en SN - 1643-3742 UR - http://dx.doi.org/ ID - ref1 ER -