Severe cholestatic hepatitis due to temozolomide: an adverse drug effect to keep in mind. Case report and review of literature.

Medicine (Baltimore)

From the Institute of Internal Medicine, Catholic University of Rome (AG, MB, LM); Institute of Radiotherapy, Catholic University of Rome (MAT, BD, NDN, NB); and Institute of Pathology, Catholic University of Rome (FMV).

Published: March 2015

Temozolomide is the current standard of therapy for postoperative patients with glioblastoma starting adjuvant radiotherapy. Hematologic adverse events are the most frequent side effects of temozolomide, while liver toxicity has been reported only in the post-marketing period. Here we report a case of severe temozolomide-induced liver injury during concurrent radiotherapy treatment, at a dose level of 75 mg/m2. The aim of this case report is to focus on the problems of temozolomide-induced hepatotoxicity. In conclusion, a close monitoring of liver function tests is recommended during treatment with temozolomide.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554001PMC
http://dx.doi.org/10.1097/MD.0000000000000476DOI Listing

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