Management of a Type I Hypersensitivity Reaction to IV Etoposide in a Woman with a Yolk Sac Tumor: A Case Report
Author(s) -
David Starks,
Deborah Prinz,
Amy J. Armstrong,
Lindsay Means,
Steven Waggoner,
Robert DeBernardo
Publication year - 2011
Publication title -
case reports in obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2090-6684
pISSN - 2090-6692
DOI - 10.1155/2011/837160
Subject(s) - etoposide , medicine , discontinuation , hypersensitivity reaction , chemotherapy , bleomycin , carboplatin , cisplatin , drug , yolk sac , oncology , pharmacology , embryo , biology , microbiology and biotechnology
Type I hypersensitivity reactions to intravenous administration of etoposide are extremely rare. Etoposide is an essential component of several chemotherapy regimens used in gynecologic oncology, and discontinuation of this drug during a course of treatment should only be due to severe patient intolerance. We report the successful use of intravenous etoposide phosphate as a substitute drug in a patient with a yolk sac tumor who manifested a Type I hypersensitivity to intravenous etoposide. The patient ultimately completed all 4 cycles of bleomycin, etoposide, cisplatin (BEP) using etoposide phosphate as a substitute drug.
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