Tirofiban

Tirofiban Reactions 1680, p322 - 2 Dec 2017 Thrombocytopenia A 71-year-old man developed severe thrombocytopenia following administration of tirofiban [route, dosage and time to reaction onset not stated]. The man was diagnosed with an acute coronary syndrome with elevated ST-segment. His relevant medical history included myocardial infarction, hypertension, dyslipidaemia and weaned smoking. He was taking aspirin along with various drugs. He received tirofiban during coronary angiography. He also underwent a stent implantation on the anterior interventricular artery. He was started on precautionary anticoagulation with fondaparinux and combined anti-platelet aggregation with prasugrel and aspirin. On the following day, laboratory investigations showed thrombocytopenia with thrombocyte count of 27 G/L. On day 3, thrombocyte count was decreased to 9 G/L. The man was treated with platelet concentrate unit (PCU) transfusions. On request of the cardiologist, aspirin treatment was also maintained. He was given clopidogrel only when the platelet count elevated beyond 50 G/L. The platelet count decreased again to 7 G/L. On day 10, there was presence of the haemorrhagic mucosal signs. Therefore, he was seen by an internist. Other investigations were found to be negative. Eventually, he was started on prednisone. On day 2 from the start of prednisone, the platelets value was found to be >50 G/L. A tapering of prednisone dose after more than 10 days of treatment showed corticodependence led to increase of dosage, which showed a favourable response. The dose of prednisone was reduced again from day 31 and stopped on day 40 without relapse of thrombocytopenia. Author comment: "We report here the unusual case of a patient with prolonged thrombocytopenia secondary to tirofiban administration during coronary angiography." "We report a case of severe thrombocytopenia secondary to the administration of tirofiban." Christen J-R, et al. Long-lasting thrombocytopenia induced by glycoprotein IIb/IIIa inhibitor. Revue de Medecine Interne 38: 769-773, No. 11, Nov 2017. Available from: URL: http://doi.org/10.1016/j.revmed.2017.05.013 [French; summarised from a translation] - France 803284566 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Reactions Weekly Springer Journals

Tirofiban

Reactions Weekly , Volume 1680 (1) – Dec 2, 2017
Free
1 page
Loading next page...
1 Page
 
/lp/springer_journal/tirofiban-vpneqsS5sj
Publisher
Springer International Publishing
Copyright
Copyright © 2017 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Drug Safety and Pharmacovigilance; Pharmacology/Toxicology
ISSN
0114-9954
eISSN
1179-2051
D.O.I.
10.1007/s40278-017-39253-2
Publisher site
See Article on Publisher Site

Abstract

Reactions 1680, p322 - 2 Dec 2017 Thrombocytopenia A 71-year-old man developed severe thrombocytopenia following administration of tirofiban [route, dosage and time to reaction onset not stated]. The man was diagnosed with an acute coronary syndrome with elevated ST-segment. His relevant medical history included myocardial infarction, hypertension, dyslipidaemia and weaned smoking. He was taking aspirin along with various drugs. He received tirofiban during coronary angiography. He also underwent a stent implantation on the anterior interventricular artery. He was started on precautionary anticoagulation with fondaparinux and combined anti-platelet aggregation with prasugrel and aspirin. On the following day, laboratory investigations showed thrombocytopenia with thrombocyte count of 27 G/L. On day 3, thrombocyte count was decreased to 9 G/L. The man was treated with platelet concentrate unit (PCU) transfusions. On request of the cardiologist, aspirin treatment was also maintained. He was given clopidogrel only when the platelet count elevated beyond 50 G/L. The platelet count decreased again to 7 G/L. On day 10, there was presence of the haemorrhagic mucosal signs. Therefore, he was seen by an internist. Other investigations were found to be negative. Eventually, he was started on prednisone. On day 2 from the start of prednisone, the platelets value was found to be >50 G/L. A tapering of prednisone dose after more than 10 days of treatment showed corticodependence led to increase of dosage, which showed a favourable response. The dose of prednisone was reduced again from day 31 and stopped on day 40 without relapse of thrombocytopenia. Author comment: "We report here the unusual case of a patient with prolonged thrombocytopenia secondary to tirofiban administration during coronary angiography." "We report a case of severe thrombocytopenia secondary to the administration of tirofiban." Christen J-R, et al. Long-lasting thrombocytopenia induced by glycoprotein IIb/IIIa inhibitor. Revue de Medecine Interne 38: 769-773, No. 11, Nov 2017. Available from: URL: http://doi.org/10.1016/j.revmed.2017.05.013 [French; summarised from a translation] - France 803284566 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680

Journal

Reactions WeeklySpringer Journals

Published: Dec 2, 2017

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off