Abstract
Previous reports have described hepatotoxicity associated with ketoconazole therapy. There is also concern that therapy with fluconazole might cause the same side effect as ketoconazole. We describe two patients who developed unexplained liver test abnormalities after beginning fluconazole therapy. To determine whether fluconazole might have been responsible, liver biopsies were performed. Specimens from both patients demonstrated an absence of hepatocyte necrosis, which, if present, would have necessitated discontinuation of fluconazole therapy. A critical review of other case reports of fluconazole-associated hepatitis also failed to produce a consistent picture. Our experience indicates that a liver biopsy may be useful in selected patients to exclude clinically relevant hepatotoxicity due to fluconazole therapy and to allow its continued use.
Original language | English (US) |
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Pages (from-to) | 102-104 |
Number of pages | 3 |
Journal | Archives of internal medicine |
Volume | 154 |
Issue number | 1 |
DOIs | |
State | Published - Jan 10 1994 |
ASJC Scopus subject areas
- Internal Medicine