Document Type
Article
Publication Date
6-12-2018
Abstract
Methotrexate (MTX) is a chemotherapeutic synthetic(s) phase cell cycle inhibitor, and its role has evolved as an immunological agent in autoimmune diseases like rheumatoid arthritis, psoriasis, and systemic lupus erythematosus, etc. Trimethoprim-sulfamethoxazole (TS) is one of the most widely prescribed antibiotics commonly used for urinary tract infections, exacerbations of chronic bronchitis, traveler's diarrhea, and pneumocystis pneumonia. Both MTX and TS can have significantly overlapping side effects involving dermatologic, renal, and hematological systems, and the combination of these can be deadly. Our case is about the combination of MTX and TS that leads to mucocutaneous ulceration, leukopenia, and renal insufficiency. The purpose of this case is to increase awareness of potentially significant toxicity from the combination of MTX with TS.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Recommended Citation
Hamid, Mohsin; Lashari, Bilal; Ahsan, Irfan; Micaily, Ida; Sarwar, Usman; and Crocetti, Joseph, "A deadly prescription: combination of methotrexate and trimethoprim-sulfamethoxazole." (2018). Abington Jefferson Health Papers. Paper 2.
https://jdc.jefferson.edu/abingtonfp/2
PubMed ID
29915656
Language
English
Comments
This article has been peer reviewed. It is the author’s final published version in Journal of Community Hospital Internal Medicine Perspectives, Volume 8, Issue 3, June 2018, Pages 149-151.
The published version is available at https://doi.org/10.1080/20009666.2018.1466598. Copyright © Hamid et al.