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Published in: Medical Oncology 1/2011

01-12-2011 | Original paper

Pegfilgrastim overdose: case report and review of the literature

Authors: Orit Kaidar–Person, Mor Moskovitz, Tomer Charas, Wasim Alsharbati, Nissim Haim

Published in: Medical Oncology | Special Issue 1/2011

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Abstract

Single-dose pegfilgrastim is commonly used for the prophylaxis of neutropenia in patients receiving myelotoxic chemotherapy. We report a case of a 69-year-old man who was treated with chemotherapy for small-cell lung cancer and mistakenly self-administered a 36 mg overdose of pegfilgrastim, a sixfold increase over the scheduled dose.
Literature
2.
go back to reference Martinez C, et al. Efficacy and toxicity of high-dose G-CSF schedule for peripheral blood progenitor cell mobilization in healthy donors. Bone Marrow Transplant. 1999;24:1273–8.PubMedCrossRef Martinez C, et al. Efficacy and toxicity of high-dose G-CSF schedule for peripheral blood progenitor cell mobilization in healthy donors. Bone Marrow Transplant. 1999;24:1273–8.PubMedCrossRef
3.
go back to reference Pitini V, et al. Spontaneous rupture of spleen during peripheral stem-cell mobilization in a patient with breast cancer. Haematologica. 2000;85:559–60.PubMed Pitini V, et al. Spontaneous rupture of spleen during peripheral stem-cell mobilization in a patient with breast cancer. Haematologica. 2000;85:559–60.PubMed
4.
go back to reference Becker PS, et al. Spontaneous splenic rupture following administration of granulocyte colony-stimulating factor (G-CSF): occurrence in an allogeneic donor of peripheral blood stem cells. Biol Blood Marrow Transplant. 1997;3:45–9.PubMed Becker PS, et al. Spontaneous splenic rupture following administration of granulocyte colony-stimulating factor (G-CSF): occurrence in an allogeneic donor of peripheral blood stem cells. Biol Blood Marrow Transplant. 1997;3:45–9.PubMed
5.
go back to reference Donadieu J, Beaupain B, Rety-Jacob F, Nove-Josserand R. Respiratory distress and sudden death of a patient with GSDIb chronic neutropenia: possible role of pegfilgrastim. Haematologica. 2009;94:1175–7.PubMedCrossRef Donadieu J, Beaupain B, Rety-Jacob F, Nove-Josserand R. Respiratory distress and sudden death of a patient with GSDIb chronic neutropenia: possible role of pegfilgrastim. Haematologica. 2009;94:1175–7.PubMedCrossRef
6.
go back to reference Draper BK, Robbins JB, Stricklin GP. Bullous Sweet’s syndrome in congenital neutropenia: association with pegfilgrastim. J Am Acad Dermatol. 2005;52:901–5.PubMedCrossRef Draper BK, Robbins JB, Stricklin GP. Bullous Sweet’s syndrome in congenital neutropenia: association with pegfilgrastim. J Am Acad Dermatol. 2005;52:901–5.PubMedCrossRef
7.
go back to reference Schilero GJ, Oropello J, Benjamin E. Impairment in gas exchange after granulocyte colony stimulating factor (GCSF) in a patient with the adult respiratory distress syndrome. Chest. 1995;107:276–8.PubMedCrossRef Schilero GJ, Oropello J, Benjamin E. Impairment in gas exchange after granulocyte colony stimulating factor (GCSF) in a patient with the adult respiratory distress syndrome. Chest. 1995;107:276–8.PubMedCrossRef
8.
go back to reference Dufour C, et al. Similar favorable outcome of pegfilgrastim overdose in patients with different age and underlying disease. Haematologica. 2010;95:684–5.PubMedCrossRef Dufour C, et al. Similar favorable outcome of pegfilgrastim overdose in patients with different age and underlying disease. Haematologica. 2010;95:684–5.PubMedCrossRef
9.
go back to reference Burstein HJ, et al. Efficacy of pegfilgrastim and darbepoetin alfa as hematopoietic support for dose-dense every-2-week adjuvant breast cancer chemotherapy. J Clin Oncol. 2005;23:8340–7.PubMedCrossRef Burstein HJ, et al. Efficacy of pegfilgrastim and darbepoetin alfa as hematopoietic support for dose-dense every-2-week adjuvant breast cancer chemotherapy. J Clin Oncol. 2005;23:8340–7.PubMedCrossRef
10.
go back to reference Ishiguro H, et al. Prolonged neutropenia after dose-dense chemotherapy with pegfilgrastim. Ann Oncol. 2008;19:1019–20.PubMedCrossRef Ishiguro H, et al. Prolonged neutropenia after dose-dense chemotherapy with pegfilgrastim. Ann Oncol. 2008;19:1019–20.PubMedCrossRef
11.
go back to reference Wolff AC, Jones RJ, Davidson NE, Jeter SC, Stearns V. Myeloid toxicity in breast cancer patients receiving adjuvant chemotherapy with pegfilgrastim support. J Clin Oncol. 2006;24:2392–4.PubMedCrossRef Wolff AC, Jones RJ, Davidson NE, Jeter SC, Stearns V. Myeloid toxicity in breast cancer patients receiving adjuvant chemotherapy with pegfilgrastim support. J Clin Oncol. 2006;24:2392–4.PubMedCrossRef
Metadata
Title
Pegfilgrastim overdose: case report and review of the literature
Authors
Orit Kaidar–Person
Mor Moskovitz
Tomer Charas
Wasim Alsharbati
Nissim Haim
Publication date
01-12-2011
Publisher
Springer US
Published in
Medical Oncology / Issue Special Issue 1/2011
Print ISSN: 1357-0560
Electronic ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-010-9751-5

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