
Somatostatin gastroözofageal varis kanamaları, barsakların endokrin tümörleri, intestinal ve pankreas fistülleri tedavisinde kullanılmakta olup en sık karşılaşılan yan etkileri bulantı, kusma ve karın ağrısıdır. İlaca bağlı nötropeni nadir görülmekle birlikte ortaya çıktığında hayatı tehdit eden ciddi bir yan etkidir. Vakamız gastroözofageal varis kanamasıyla acil servise iki kez başvurmuş kriptojenik karaciğer siroz tanılı 32 yaşında erkek hastadır. Somatostatin infüzyonu verilen hastada nötropeni gelişti ve kontrollerde nötropeninin düzeldiği görüldü. Naranjö skorlamasına göre nötropeninin somatostatin ile ilişkili olduğu kesinleşti. Nötropeni somatostatinin sık görülen yan etkileri arasında olmamakla birlikte, somatostatine bağlı gelişen ilk nötropeni vakası olarak sunulmuştur.
Somatostatin is a form of polypeptide hormone, which is usually used in the treatment of gastroesophageal variceal bleeding, endocrine tumours and fistulas, and may lead side effects such as nausea, vomiting and abdominal pain. Drug-induced neutropenia is a rare case; however, it is a serious side effect which threatens life. In this report, we are presenting a 32-year-old male patient with cryptogenic liver cirrhosis who developed neutropenia and started somatostatin infusion twice due to the esophageal variceal bleeding. This case was evaluated as a definitive drug side effect according to Naranjo scale and in the literature; it is the first case of neutropenia associated with somatostatin.
Neutropenia, Naranjo scale, Somatostatin
Neutropenia, Naranjo scale, Somatostatin
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