UMEM Educational Pearls

Title: Contaminated Steroid Ingestion - What is The Cost of Tx?

Category: Toxicology

Keywords: voriconazole (PubMed Search)

Posted: 10/25/2012 by Fermin Barrueto (Updated: 11/22/2024)
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As everyone knows by now the New England Compounding Company has been implicated in contaminated steroid vials that were used for epidural injections. Patients that have pleocytosis on CSF after lumber puncture will be admitted and started on liposomal amphotericin B and IV voriconozaole. 

IV Voriconazole Adverse Effects:

Vivid visual hallucinations

Visual Disturbances - 30 min after administration: Blurry, photosensitivity

Hepatotoxitcity

Photoxicity - associated with increased risk of squamous cell CA of the skin