TY - JOUR PY - 2007// TI - Sub-acute toxicosis caused by a multiple doses tegafur/uracil (UFT) for suicide: A case report JO - Kitakanto medical journal A1 - Hagiwara, S. A1 - Ogino, T. A1 - Takahashi, Y. A1 - Isaka, A. A1 - Nameki, T. A1 - Kagoshima, K. A1 - Yamada, T. A1 - Ishihara, K. A1 - Hiraishi, H. A1 - Kurabayashi, K. A1 - Handa, H. A1 - Iino, Y. SP - 317 EP - 320 VL - 57 IS - 4 N2 - Tegafur/uracil (UFT) is an oral anticancer drug composed of tegafur which is a derivative of fluorouracil (5-FU) and uracil in a molar ratio of 1:4. UFT is effective as adjuvant chemotherapy for breast cancer2, colorectal cancer3, non-small cell lung carcinoma4, head and neck cancer5 and other tumors. We report a 41-year-old man who orally ingested a large dose of UFT (tegafur: 40000 mg/uracil 9960mg) in an effort to commit suicide, and suffered from sub-acute toxicosis (main symptoms were bone-marrow suppression, and hair loss) of UFT. His life was saved by empiric antibiotic chemical treatment (meropenem, isapamicin, and micafungin), and granulocyte colony-stimulating factor (G -CSF). In the case of toxicosis of UFT, strong antibacterial empiric chemotherapy and G-CSF are necessary for rescue. If G-CSF is not work, biopsy of bone marrow woud be necessary, and the case of no stem cells, bone marrow transfusion should be thought.
Language: en
LA - en SN - 1343-2826 UR - http://dx.doi.org/10.2974/kmj.57.317 ID - ref1 ER -