UVEITIS DURING TREATMENT OF DISSEMINATED MYCOBACTERIUM-AVIUM-INTRACELLULARE COMPLEX INFECTION WITH THE COMBINATION OF RIFABUTIN, CLARITHROMYCIN AND ETHAMBUTOL
Sh. Lowe et al., UVEITIS DURING TREATMENT OF DISSEMINATED MYCOBACTERIUM-AVIUM-INTRACELLULARE COMPLEX INFECTION WITH THE COMBINATION OF RIFABUTIN, CLARITHROMYCIN AND ETHAMBUTOL, Netherlands journal of medicine, 48(6), 1996, pp. 211-215
Three patients with a cellular immunodeficiency were treated with rifa
butin, clarithromycin and ethambutol for a disseminated infection with
Mycobacterium avium-intracellulare complex (MAC). The patients develo
ped uveitis, some-times in combination with a transient rash, arthralg
ia, arthritis, jaundice and pseudojaundice. It seems likely that these
reactions were caused by rifabutin, alone or together with other drug
s such as clarithromycin. These adverse reactions probably depend on t
he dose, metabolism and excretion of the drug. Inhibition of cytochrom
e P450 seems to be an important mechanism.