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Severe and Recurrent Hypoglycemia Caused by Garenoxacin in a Patient not Taking Hypoglycemic Drugs

机译:不服用降糖药的患者中加雷沙星引起的严重和反复出现的低血糖

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摘要

Quinolones are known to induce hypoglycemia, although there is no written report of garenoxacin-induced hypoglycemia. We herein report a case of garenoxacin-induced hypoglycemia in a patient not taking hypoglycemic drugs. An 89-year-old Japanese woman with type 2 diabetes and chronic renal insufficiency requiring hemodialysis was admitted to the emergency department in a comatose state. Her serum glucose measured 1 mg/dL on arrival. The patient had not taken any hypoglycemic drugs recently and had never experienced a hypoglycemic episode. She had received a four-day course of garenoxacin treatment before the emergency admission. Clinicians should therefore recognize the potential risk of hypoglycemia during garenoxacin therapy.
机译:喹诺酮类药物可引起低血糖症,尽管尚无书面报告表明加仑沙星可引起低血糖症。我们在此报告了在不服用降糖药的患者中加雷沙星诱导的低血糖症的病例。一名89岁的日本2型糖尿病和需要进行血液透析的慢性肾功能不全的日本妇女进入昏迷状态的急诊室。到达时她的血糖为1 mg / dL。该患者最近未服用任何降糖药,也从未经历过降糖发作。在紧急入院前,她接受了四天的加雷沙星治疗。因此,临床医生应认识到加雷沙星治疗期间存在低血糖的潜在风险。

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