Death due to diarrhea and agranulocytosis caused by irinotecan
CAO Kai
SI Ji-gang
SUN Min
Abstract：A 62-year-old man with colon cancer was given irinotecan at a dose of 80 mg by intravenous administration on day 1 and day 8. After the treatment, diarrhea was followed lasting for 11 days, and it aggravated with fever on day 13. The patient was sent to the emergency for the further therapy. The laboratory examination revealed that WBC was 0.34×109·L-1, NEUT was 5.94%, L was 85.34%, RBC was 3.84×1012·L-1, Hb was 114.0 g·L-1, PLT was 33×109·L-1, blood urea nitrogen was 13.71 mmol·L-1 and serum creatinine was 291μmol·L-1. The patient received a serial of therapy, including anti-infection with cefpirome, enhancing leukocytes with recombinant human granulocyte colony stimulating factor injection, immune regulation, controlling diarrhea, protecting the renal functions and lfuid resuscitation, etc. On the second day of admission, the patient appeared septic shock while the anti-shock treatment was adopted. On the third day, the patient was in deep coma and blood pressure was dififcult to maintain. The patient eventually died of circulatory and respiratory failure.
Keywords：IrinotecanDiarrheaAgranulocytosisAdverse drug reaction
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 57-59 )