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Obstet Gynecol. 2004 May;103(5 Pt 2):1047-8.

A rare drug reaction to methotrexate after treatment for ectopic pregnancy.

Author information

  • 1David Grant Medical Center, Travis Air Force Base, California 94535-1800, USA. michelle.straka@60mdg.travis.af.mil

Abstract

BACKGROUND:

Ectopic pregnancies are commonly diagnosed and treated in physicians' offices. In the hemodynamically stable patient, therapy often includes treatment with methotrexate. Well-known adverse effects of this drug include mucositis, abdominal cramping, and malaise. We report a case of a rare drug reaction after treatment with methotrexate.

CASE:

A 34-year-old, gravida 2, para 0, at 7 weeks of gestation by last menstrual period was diagnosed with an ectopic pregnancy and treated with methotrexate. The patient had an anaphylactoid reaction shortly after administration of methotrexate.

CONCLUSION:

Methotrexate is a commonly used therapy for ectopic pregnancies in the outpatient setting. Practitioners should be aware of the potential adverse reactions to methotrexate.

PMID:
15121603
[PubMed - indexed for MEDLINE]
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