Grade 4 oral mucositis and prolonged pancytopenia with high dose intravenous methotrexate in a patient of philadelphia positive acute lymphoblastic leukemia.

dc.contributor.authorShah, Vidisha M
dc.contributor.authorMehta, Dimple S
dc.date.accessioned2014-07-30T07:22:39Z
dc.date.available2014-07-30T07:22:39Z
dc.date.issued2012-07
dc.description.abstractAntimetabolite drugs are rarely associated with grade 3 or 4 mucositis. However specific side effects such as bone marrow suppression, pancytopenia, hospitalization, high cost limit the use of intravenous methotrexate. Here we report a case of 25-year-old girl patient with Acute Lymphoblastic Leukemia (ALL) treated with 24 hour methotrexate in her continuous phase of chemotherapy. After 12 hours of completing the treatment she developed oral mucosal pain & she was not able to speak. After a week, her White Blood Cell (WBC) count was 600/cumm with fever and she could not speak and eat or drink. So she was hospitalized for few days till she can drink something. We report high grade mucositis with methotrexate. Hematologists should be aware of this possible side effect to undertake early intervention.en_US
dc.identifier.citationShah Vidisha M, Mehta Dimple S. Grade 4 oral mucositis and prolonged pancytopenia with high dose intravenous methotrexate in a patient of philadelphia positive acute lymphoblastic leukemia. International Journal of Basic & Clinical Pharmacology. 2012 Jul-Aug; 1(1): 36-38.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/153376
dc.language.isoenen_US
dc.source.urihttps://www.ijbcp.com/?mno=27645en_US
dc.subjectMethotrexate (MTX)en_US
dc.subjectMucositisen_US
dc.subjectPancytopeniaen_US
dc.subjectALLen_US
dc.titleGrade 4 oral mucositis and prolonged pancytopenia with high dose intravenous methotrexate in a patient of philadelphia positive acute lymphoblastic leukemia.en_US
dc.typeArticleen_US
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