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 -