Case Report: Hepatotoxicity Associated with the Use of Hydroxychloroquine in a Patient with COVID-19
Author(s) -
Melissa Barreto Falcão,
Luciano Pamplona de Góes Cavalcanti,
Nivaldo Menezes Filgueiras Filho,
Carlos Alexandre Antunes de Brito
Publication year - 2020
Publication title -
american journal of tropical medicine and hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.015
H-Index - 151
eISSN - 1476-1645
pISSN - 0002-9637
DOI - 10.4269/ajtmh.20-0276
Subject(s) - hydroxychloroquine , covid-19 , medicine , adverse effect , pandemic , liver function , coronavirus , gastroenterology , disease , virology , infectious disease (medical specialty) , outbreak
Hydroxychloroquine (HCQ) has been used for the treatment of novel coronavirus disease (COVID-19) cases. However, evidence of efficacy remains limited, and adverse events can be associated with its use. Here, we report a case of a patient with severe COVID-19 who, after being administered HCQ, exhibited a 10-fold increase in serum levels of transaminases, followed by a rapid decrease after HCQ was withdrawn. Considering the significantly increased use of HCQ during the COVID-19 pandemic, this case alerts us to the potential for HCQ to be associated with hepatotoxicity and the need to monitor liver function during HCQ therapy.
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