Severe axonal polyneuropathy after a FK506 overdosage in a lung transplant recipient

Transplantation. 2001 Dec 15;72(11):1849-50. doi: 10.1097/00007890-200112150-00026.

Abstract

FK506-induced polyneuropathies are rarely encountered. We report a case of axonal sensorimotor polyneuropathy in a lung transplant recipient that occurred during a FK506 overdosage. Onset was acute in the form of severe areflexic tetraparesis and resolution was observed after reduction of dosage. Because of increasing use of FK506 in solid organ transplantation, caution should be paid with FK506 dosage monitoring in cases of peripheral nervous system symptoms.

Publication types

  • Case Reports

MeSH terms

  • Dose-Response Relationship, Drug
  • Drug Overdose
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects*
  • Immunosuppressive Agents / therapeutic use
  • Lung Transplantation*
  • Male
  • Middle Aged
  • Polyneuropathies / chemically induced*
  • Polyneuropathies / physiopathology
  • Quadriplegia / chemically induced
  • Quadriplegia / physiopathology
  • Tacrolimus / administration & dosage
  • Tacrolimus / adverse effects*
  • Tacrolimus / therapeutic use

Substances

  • Immunosuppressive Agents
  • Tacrolimus