UMEM Educational Pearls

Category: Toxicology

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

Keywords: voriconazole (PubMed Search)

Posted: 10/25/2012 by Fermin Barrueto (Updated: 11/10/2024)
Click here to contact Fermin Barrueto

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