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