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Sakamoto H, Hirano M, Nose K, et al. A case of severe ganciclovir-induced encephalopathy. Case Rep Neurol. 2013;5(3):183-6doi: 10.1159/000355638.
Sakamoto, H., Hirano, M., Nose, K., Ueno, S., Oki, T., Sugimoto, K., Nishioka, T., Kusunoki, S., & Nakamura, Y. (2013). A case of severe ganciclovir-induced encephalopathy. Case reports in neurology, 5(3), 183-6. https://doi.org/10.1159/000355638
Sakamoto, Hikaru, et al. "A case of severe ganciclovir-induced encephalopathy." Case reports in neurology vol. 5,3 (2013): 183-6. doi: https://doi.org/10.1159/000355638
Sakamoto H, Hirano M, Nose K, Ueno S, Oki T, Sugimoto K, Nishioka T, Kusunoki S, Nakamura Y. A case of severe ganciclovir-induced encephalopathy. Case Rep Neurol. 2013 Oct 05;5(3):183-6. doi: 10.1159/000355638. eCollection 2013. PMID: 24403897; PMCID: PMC3884185.
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Case Rep Neurol. 2013 Oct 05;5(3):183-6. doi: 10.1159/000355638. eCollection 2013.

A case of severe ganciclovir-induced encephalopathy.

Case reports in neurology

Hikaru Sakamoto, Makito Hirano, Kazuhiro Nose, Shuichi Ueno, Takashi Oki, Koichi Sugimoto, Tsukasa Nishioka, Susumu Kusunoki, Yusaku Nakamura

Affiliations

  1. Department of Neurology, Sakai Hospital Kinki University Faculty of Medicine, Sakai, Osakasayama, Japan.
  2. Department of Neurology, Sakai Hospital Kinki University Faculty of Medicine, Sakai, Osakasayama, Japan ; Department of Department of Neurology, Kinki University Faculty of Medicine, Osakasayama, Japan.
  3. Department of Urology, Sakai Hospital Kinki University Faculty of Medicine, Sakai, Osakasayama, Japan.
  4. Department of Department of Neurology, Kinki University Faculty of Medicine, Osakasayama, Japan.

PMID: 24403897 PMCID: PMC3884185 DOI: 10.1159/000355638

Abstract

BACKGROUND: Ganciclovir, a drug against cytomegalovirus (CMV) infection, is generally well tolerated, but can cause neurotoxicity such as encephalopathy. Although ganciclovir-induced encephalopathy has been described in several reports, a literature search revealed that ganciclovir concentrations in the blood or cerebrospinal fluid were previously measured in only 3 patients with encephalopathy. Symptoms usually include confusion and disturbed consciousness, which mimic CMV encephalitis. Prompt and accurate diagnosis is thus sometimes difficult, and is derived solely from accumulated clinical information of definite cases, since ganciclovir concentrations, not routinely measured, become available after several days or a few weeks.

CASE PRESENTATION: Here, we summarize clinical information of all patients with definite ganciclovir-induced encephalopathy including our own patient, who had severe symptoms, with the highest reported trough concentration of ganciclovir in the blood, and underwent therapeutic dialysis with complete recovery.

CONCLUSION: Our summary of patients with definite encephalopathy could lead to prompt and accurate diagnoses.

Keywords: Cytomegalovirus enteritis; Dialysis; Encephalopathy; Ganciclovir; Kidney transplantation

References

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  4. Clin Nephrol. 1994 Oct;42(4):279-80 - PubMed

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