| アブストラクト | Nonsteroidal anti-inflammatory drug (NSAID)-induced aseptic meningitis (NIAM) is frequently reported in patients with autoimmune disease. Ibuprofen-induced NIAM is the most common case report of NIAM. We report a patient without autoimmune disease who developed NIAM following oral celecoxib administration. A literature review and survey of cases registered in the Japanese Adverse Drug Event Report (JADER) database is also provided. A 73-year-old woman with no autoimmune disease developed a headache the day after taking celecoxib, and NIAM was suspected. The headache resolved quickly following celecoxib discontinuation. Although lumbar puncture was not available in this case, bacterial or viral meningitis was negative, and NIAM could not be ruled out. This case involved an older adult patient without an autoimmune disease, with celecoxib as the causative NSAID. A literature review found numerous cases of autoimmune diseases in younger patients. To date, only one case of celecoxib-induced NIAM has been reported. Analysis of NIAM cases in JADER revealed an onset time of approximately three days. JADER analysis indicated that NIAM tended to occur immediately after administration, although the onset with cyclooxygenase-2 selective agents might be slower. |
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| ジャーナル名 | Cureus |
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| 投稿日 | 2024/4/1 |
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| 投稿者 | Takigawa, Masaki; Tanaka, Hiroyuki; Kobayashi, Takashi; Katahara, Yuto; Kinoshita, Masako; Masuda, Masayuki; Iwakiri, Rika |
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| 組織名 | Department of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Toho;University, Chiba, JPN.;Department of Practical Pharmacy, Faculty of Pharmaceutical Sciences, Toho;Department of General Internal Medicine, Daisan Hospital, Jikei University,;School of Medicine, Tokyo, JPN.;Department of Pharmacy, Tokyo Metropolitan Institute for Geriatrics and;Gerontology, Tokyo, JPN.;Department of Geriatrics, Tokyo Metropolitan Institute for Geriatrics and |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38559550/ |
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