UVEITIS DURING TREATMENT OF DISSEMINATED MYCOBACTERIUM-AVIUM-INTRACELLULARE COMPLEX INFECTION WITH THE COMBINATION OF RIFABUTIN, CLARITHROMYCIN AND ETHAMBUTOL

Citation
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
Citations number
34
Categorie Soggetti
Medicine, General & Internal
ISSN journal
03002977
Volume
48
Issue
6
Year of publication
1996
Pages
211 - 215
Database
ISI
SICI code
0300-2977(1996)48:6<211:UDTODM>2.0.ZU;2-A
Abstract
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.