FRED R. SATTLER, M.D.; HETTY WASKIN, M.D.
To the editor: Hypoglycemia has occurred in 10% to 30% of patients treated with pentamidine for Pneumocystis carinii pneumonia (1, 2). This adverse reaction is reported to occur 5 to 13 days after treatment and is usually mild. Serum glucose concentrations generally range from 20 to 60 mg/dL and as few as 13% to 25% of patients actually have symptoms of hypoglycemia (1, 2). We report the case of a patient in whom fatal hypoglycemia occurred suddenly after 2 weeks of treatment.
A 52-year-old homosexual man had cough and dyspnea for 1 week. His temperature was 39.5 °C and respiratory
SATTLER FR, WASKIN H. Pentamidine and Fatal Hypoglycemia. Ann Intern Med. ;107:789–790. doi: 10.7326/0003-4819-107-5-789_2
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Published: Ann Intern Med. 1987;107(5):789-790.
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