Pristinamycin-induced arthralgia and myalgia: Analysis of the French Pharmacovigilance Database

Med Mal Infect. 2018 Feb;48(1):58-62. doi: 10.1016/j.medmal.2017.09.014. Epub 2017 Oct 28.

Abstract

Introduction: Pristinamycin is an antibiotic of the streptogramin family; few adverse effects of this drug are reported, only cutaneous and digestive ones. Arthralgia and myalgia may however be observed although not mentioned in the summary of product characteristics.

Objective: Description and analysis of cases of pristinamycin-induced arthralgia and/or myalgia registered in the French database of pharmacovigilance.

Method: We carried out a targeted search of the database, selecting case patients presenting with arthralgia and muscle pain and excluding those associated with sensitivities or allergies to pristinamycin.

Results: We retrieved 15 case patients of pristinamycin-induced arthralgia and myalgia. Pristinamycin was the only potentially incriminated drug for seven case patients.

Conclusion: Although not serious, this adverse effect deserves to be better known by physicians to optimize therapeutic management.

Keywords: Arthralgia; Arthralgie; Myalgia; Myalgie; Pristinamycin; Pristinamycine.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / adverse effects*
  • Arthralgia / chemically induced*
  • Databases, Factual
  • Female
  • France
  • Humans
  • Male
  • Middle Aged
  • Myalgia / chemically induced*
  • Pharmacovigilance
  • Pristinamycin / adverse effects*
  • Retrospective Studies
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Pristinamycin