Hagiya Hideharu, Hasegawa Kou, Asano Kikuko, Terasaka Tomohiro, Kimura Kosuke, Nada Takahiro, Nakamura Eri, Waseda Koichi, Hanayama Yoshihisa, Otsuka Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Intern Med. 2015;54(5):525-9. doi: 10.2169/internalmedicine.54.3397. Epub 2015 Jan 15.
A 34-year-old man with 22q11.2 deletion syndrome (DiGeorge syndrome) concurrently suffered from myopathy and eosinophilic pneumonia shortly after receiving daptomycin (DAP) for right-sided infective endocarditis. The simultaneous occurrence of these phenomena in relation to DAP therapy has not been previously well described. An allergic reaction was suspected as a possible etiology of these DAP-related complications. This case highlights the need for close observation in order to detect both musculoskeletal and respiratory disorders from the start of DAP therapy. Physicians should pay more attention to this new drug, which is expected to be frequently used in various clinical settings.
一名患有22q11.2缺失综合征(迪乔治综合征)的34岁男性,在接受达托霉素(DAP)治疗右侧感染性心内膜炎后不久,同时患上了肌病和嗜酸性粒细胞性肺炎。此前尚未对这些与DAP治疗相关的现象同时出现的情况进行过充分描述。怀疑过敏反应可能是这些与DAP相关并发症的病因。该病例强调了从DAP治疗开始就需要密切观察,以便检测出肌肉骨骼和呼吸系统疾病。医生应更加关注这种有望在各种临床环境中频繁使用的新药。