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10.1111/liv.14516

http://scihub22266oqcxt.onion/10.1111/liv.14516
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32478465!7276916!32478465
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suck abstract from ncbi


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pmid32478465      Liver+Int 2020 ; 40 (8): 1901-1905
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  • First case of drug-induced liver injury associated with the use of tocilizumab in a patient with COVID-19 #MMPMID32478465
  • Muhovic D; Bojovic J; Bulatovic A; Vukcevic B; Ratkovic M; Lazovic R; Smolovic B
  • Liver Int 2020[Aug]; 40 (8): 1901-1905 PMID32478465show ga
  • BACKGROUND AND AIMS: Tocilizumab (TCZ; interleukine-6 receptor antagonist) has been proposed to treat severe forms of Coronavirus disease-19 (COVID-19) because interleukine-6 plays an important role in COVID-19-induced cytokine storm. Several clinical studies have shown very good effects of TCZ in patients with COVID-19, with a few minor side effects reported. Only eight serious liver injuries caused by TCZ were reported before being used in the treatment of patients with COVID-19. Considering the significantly increased use of TCZ for the treatment of COVID-19, we would like to warn of its rare but possible serious hepatotoxicity, especially when used together with other hepatotoxic drugs. METHODS: We describe a patient with COVID-19-induced cytokine storm who developed drug-induced liver injury associated with the use of TCZ. RESULTS: One day after TCZ administration, serum transaminase levels increased 40-fold. Nevertheless, TCZ had a positive effect on clinical and laboratory parameters in cytokine storm, with transaminases values normalizing in 10 days. CONCLUSIONS: This is the first reported case of DILI caused by TCZ in a COVID-19 patient. Intensive liver function monitoring is imperative in COVID-19 patients, because of frequent polypharmacy with potentially hepatotoxic drugs.
  • |*Betacoronavirus[MESH]
  • |Antibodies, Monoclonal, Humanized/*adverse effects[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19[MESH]
  • |Chemical and Drug Induced Liver Injury/*etiology[MESH]
  • |Coronavirus Infections/*drug therapy/immunology[MESH]
  • |Cytokine Release Syndrome/etiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/immunology[MESH]


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