Colchicine related pancytopenia unresponsive to granulocyte colony stimulating factor


Sedat K., Alper K., Haktan K., Selim T.

Case Reports and Clinical Practice Review, vol.8, pp.13-15, 2007 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 8
  • Publication Date: 2007
  • Journal Name: Case Reports and Clinical Practice Review
  • Journal Indexes: Scopus
  • Page Numbers: pp.13-15
  • Keywords: Colchicine, Granulocyte colony-stimulating factor, Intoxication
  • Hatay Mustafa Kemal University Affiliated: Yes

Abstract

Background: Colchicine overdose is uncommon but extremely serious and it is associated with considerable mortality. Previous reports have shown that granulocyte colony-stimulating factor therapy was an effective method of treating the colchicine related pancytopenia. Case Reports: We describe a case of suicidal ingestion of 15 mg of colchicine in a previously healthy 23-yearsold woman. During nasogastric tube insertion, nasal bleeding developed in the emergency room and stopped after anterior nasal tamponage. Following days, patient's platelet counts decreased to 14.9 K/UL due to bone marrow suppression. In spite of all therapeutic approach including granulocyte colony-stimulating factor, our patient died on 5th day due to severe bleeding. Conclusions: Bone marrow suppression may be resistant to granulocyte colony-stimulating factor in colchicine poisoning. We recommend that all invasive procedures were performed more carefully in patient doubted colchicine ingestion.