Linezolid and lactic acidosis: a role for lactate monitoring with long-term linezolid use in children

Pediatr Infect Dis J. 2011 Sep;30(9):804-6. doi: 10.1097/INF.0b013e3182186035.

Abstract

Linezolid administration has been associated with lactic acidosis in adults; however, the same phenomenon has not been reported in children. Mitochondrial protein synthesis inhibition is a demonstrated mechanism for toxicity, which therefore may manifest as lactic acidosis. Three cases of linezolid-associated lactic acidosis in children are reported to reinforce the need for pediatric caregivers to be vigilant of this potential side effect.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Acetamides / adverse effects*
  • Acetamides / pharmacology
  • Acidosis, Lactic / blood
  • Acidosis, Lactic / chemically induced*
  • Adolescent
  • Anti-Bacterial Agents / adverse effects*
  • Anti-Bacterial Agents / pharmacology
  • Fatal Outcome
  • Female
  • Humans
  • Infant
  • Lactic Acid / blood*
  • Linezolid
  • Male
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Oxazolidinones / adverse effects*
  • Oxazolidinones / pharmacology

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Oxazolidinones
  • Lactic Acid
  • Linezolid