Hemolytic uremic syndrome induced by infusion of oxaliplatin: a case report

Tumori. 2011 Sep-Oct;97(5):31e-3e. doi: 10.1177/030089161109700527.

Abstract

Introduction: Oxaliplatin is a third-generation platinum compound with proven antitumor activity in the treatment of colorectal cancer. The occurrence of life-threating hemolitic uremic syndrome has been observed after oxaliplatin therapy. The kind of tumor and treatment modalities seem to influence the onset of hemolitic uremic syndrome.

Methods: The clinical course of the case is reviewed and compared with reports of other similar cases in the literature.

Results: We describe the development of hemolitic uremic syndrome as a result of prolonged oxaliplatin treatment of a colon cancer patient.

Conclusions: Although this rare event requires the concurrence of other unknown factors, it should be considered in a decision-making setting.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Biomarkers / blood
  • Camptothecin / administration & dosage
  • Camptothecin / analogs & derivatives
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / pathology
  • Disease Progression
  • Drug Administration Schedule
  • Fatal Outcome
  • Female
  • Fluorouracil / administration & dosage
  • Hemolytic-Uremic Syndrome / blood
  • Hemolytic-Uremic Syndrome / chemically induced*
  • Hemolytic-Uremic Syndrome / therapy*
  • Humans
  • Infusions, Intravenous
  • Leucovorin / administration & dosage
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / secondary
  • Middle Aged
  • Organoplatinum Compounds / administration & dosage
  • Organoplatinum Compounds / adverse effects*
  • Oxaliplatin

Substances

  • Biomarkers
  • Organoplatinum Compounds
  • Oxaliplatin
  • Leucovorin
  • Fluorouracil
  • Camptothecin

Supplementary concepts

  • Folfox protocol
  • IFL protocol