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Erythropoietin Concentration in Amphotericin B-Induced Anemia
Author(s) -
Rob Roy MacGregor,
John E. Bennett,
Allan J. Erslev
Publication year - 1978
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.14.2.270
Subject(s) - erythropoietin , amphotericin b , hematocrit , anemia , medicine , urine , bone marrow , gastroenterology , pharmacology , dermatology , antifungal
Amphotericin B was given to six patients with systemic fungal infections. A dose averaging 1.78 g, administered from 42 to 144 days, was associated with a fall in hematocrit to a mean value of 25.8%. Despite this degree of anemia, no elevation of erythropoietin concentrations in urine or serum could be detected. Thus, amphotericin appears to cause anemia by inhibiting erythropoietin production rather than by suppressing bone marrow activity directly.

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