Abstract
The malabsorption of drugs from the gastrointestinal tract in patients with pancreatic insufficiency is not well documented in the literature. We describe a case of flucytosine malabsorption in a pediatric patient with Shwachman syndrome, a rare disease in the pediatric age group characterized by pancreatic insufficiency. A significant increase in serum concentrations of flucytosine was noted when the drug was administered in a lipophilic vehicle, possibly due to enhanced absorption.
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References
1.
Shwachman
H.
Diamond
LK
Oski
FA
, The syndrome of pancreatic insufficiency and bone marrow dysfunction . J Pediatr
1964 ; 65 : 645 –63 .
2.
Schussheim
A.
Choi
SJ
Silverberg
M.
Exocrine pancreatic insufficiency with congenital anomalies . J Pediatr
1976 ; 89 : 782 –4 .
3.
Pearson
HA
Lobel
JS
Kocoshis
SA
, A new syndrome of refractory sideroblastic anemia with vacuolization of marrow precursors and exocrine pancreatic dysfunction . J Pediatr
1979 ; 95 : 976 –84 .
4.
Aggett
PJ
Cavanagh
NPC
Matthew
DJ
Pincott
JR
Sutcliffe
J.
Harries
JT
. Shwachman's syndrome . Arch Dis Child
1980 ; 55 : 331 –47 .
5.
Hill
RE
Durie
PR
Gaskin
KJ
Davidson
GP
Forstner
GG
. Steatorrhea and pancreatic insufficiency in Shwachman syndrome . Gastroenterology
1982 ; 83 : 22 –7 .
6.
Dawborn
JK
Page
MD
Schiavone
DJ
. Use of 5-fluorocytosine in patients with impaired renal function . Br Med J
1973 ; 4 : 382 –4 .
7.
Shadomy
S.
Further in-vitro studies with 5-fluorocytosine . Infect Immun
1970 ; 2 : 484 –8 .
8.
Bennett
JE
. Flucytosine . Ann Intern Med
1977 ; 86 : 319 –22 .
9.
Medoff
G.
Kobayshi
GS
. Strategies in the treatment of systemic fungal infections . N Engl J Med
1980 ; 302 : 145 –55 .
10.
Yoshikawa
TT
Fujita
N.
Grinnell
V.
Edwards
JE
Feldman
RA
. Management of central nervous system cryptococcosis . West J Med
1980 ; 132 : 123 –33 .
