Antibiotic-Associated Eosinophilic and Occlusive Arteritis in Calves Complicating Preclinical Studies of Left Ventricular Assist Devices

Timothy K. Cooper, James W. Griffith, John Reibson, Rebecca Peterson, Evan P. Roush, Qing Zhong, William J. Weiss, Gerson Rosenberg

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Repeated bolus intravenous (IV) administration of large doses of beta-lactams and aminoglycosides has previously been associated with the development of eosinophilic and occlusive arterial lesions limited to the lungs in calves. Reviewing 13 years worth of records from left ventricular assist device implantation studies, morphologically identical segmental arterial lesions were present in 32 of the 56 calves receiving IV antibiotics, affecting lungs (6/50), kidneys (12/56), or lungs and kidneys (14/50). In 16 of these calves, renal arterial lesions spatially colocalized with renal cortical infarctions. Lesions were noted in additional abdominal organs in 4 of the 50 calves and were exclusively present in the liver in a single calf. Similar arterial lesions were also noted in the lungs (3/4), kidneys (1/4), liver (1/4), and spleen (1/4) of unimplanted calves receiving similar IV antibiotic regimens for bacterial infections. Lesions were observed with therapeutic IV doses of cephalosporins with or without aminoglycosides over shorter intervals than previously implicated. Lesions were significantly associated with increased peripheral eosinophil counts and mildly elevated, not reduced, arterial pulse pressures. This report documents the features of an idiosyncratic drug reaction with features strongly suggestive of an acute type-I hypersensitivity in this species.

Original languageEnglish (US)
Pages (from-to)519-527
Number of pages9
JournalToxicologic Pathology
Volume41
Issue number3
DOIs
StatePublished - Apr 2013

Fingerprint

Left ventricular assist devices
Arteritis
Heart-Assist Devices
Aminoglycosides
Liver
Anti-Bacterial Agents
Kidney
beta-Lactams
Cephalosporins
Lung
Immediate Hypersensitivity
Pharmaceutical Preparations
Bacterial Infections
Eosinophils
Intravenous Administration
Infarction
Arterial Pressure
Spleen
Blood Pressure

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Molecular Biology
  • Toxicology
  • Cell Biology

Cite this

Cooper, Timothy K. ; Griffith, James W. ; Reibson, John ; Peterson, Rebecca ; Roush, Evan P. ; Zhong, Qing ; Weiss, William J. ; Rosenberg, Gerson. / Antibiotic-Associated Eosinophilic and Occlusive Arteritis in Calves Complicating Preclinical Studies of Left Ventricular Assist Devices. In: Toxicologic Pathology. 2013 ; Vol. 41, No. 3. pp. 519-527.
@article{70dc8fe9426d48118743252b8b8fcaca,
title = "Antibiotic-Associated Eosinophilic and Occlusive Arteritis in Calves Complicating Preclinical Studies of Left Ventricular Assist Devices",
abstract = "Repeated bolus intravenous (IV) administration of large doses of beta-lactams and aminoglycosides has previously been associated with the development of eosinophilic and occlusive arterial lesions limited to the lungs in calves. Reviewing 13 years worth of records from left ventricular assist device implantation studies, morphologically identical segmental arterial lesions were present in 32 of the 56 calves receiving IV antibiotics, affecting lungs (6/50), kidneys (12/56), or lungs and kidneys (14/50). In 16 of these calves, renal arterial lesions spatially colocalized with renal cortical infarctions. Lesions were noted in additional abdominal organs in 4 of the 50 calves and were exclusively present in the liver in a single calf. Similar arterial lesions were also noted in the lungs (3/4), kidneys (1/4), liver (1/4), and spleen (1/4) of unimplanted calves receiving similar IV antibiotic regimens for bacterial infections. Lesions were observed with therapeutic IV doses of cephalosporins with or without aminoglycosides over shorter intervals than previously implicated. Lesions were significantly associated with increased peripheral eosinophil counts and mildly elevated, not reduced, arterial pulse pressures. This report documents the features of an idiosyncratic drug reaction with features strongly suggestive of an acute type-I hypersensitivity in this species.",
author = "Cooper, {Timothy K.} and Griffith, {James W.} and John Reibson and Rebecca Peterson and Roush, {Evan P.} and Qing Zhong and Weiss, {William J.} and Gerson Rosenberg",
year = "2013",
month = "4",
doi = "10.1177/0192623312450630",
language = "English (US)",
volume = "41",
pages = "519--527",
journal = "Toxicologic Pathology",
issn = "0192-6233",
publisher = "SAGE Publications Inc.",
number = "3",

}

Antibiotic-Associated Eosinophilic and Occlusive Arteritis in Calves Complicating Preclinical Studies of Left Ventricular Assist Devices. / Cooper, Timothy K.; Griffith, James W.; Reibson, John; Peterson, Rebecca; Roush, Evan P.; Zhong, Qing; Weiss, William J.; Rosenberg, Gerson.

In: Toxicologic Pathology, Vol. 41, No. 3, 04.2013, p. 519-527.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Antibiotic-Associated Eosinophilic and Occlusive Arteritis in Calves Complicating Preclinical Studies of Left Ventricular Assist Devices

AU - Cooper, Timothy K.

AU - Griffith, James W.

AU - Reibson, John

AU - Peterson, Rebecca

AU - Roush, Evan P.

AU - Zhong, Qing

AU - Weiss, William J.

AU - Rosenberg, Gerson

PY - 2013/4

Y1 - 2013/4

N2 - Repeated bolus intravenous (IV) administration of large doses of beta-lactams and aminoglycosides has previously been associated with the development of eosinophilic and occlusive arterial lesions limited to the lungs in calves. Reviewing 13 years worth of records from left ventricular assist device implantation studies, morphologically identical segmental arterial lesions were present in 32 of the 56 calves receiving IV antibiotics, affecting lungs (6/50), kidneys (12/56), or lungs and kidneys (14/50). In 16 of these calves, renal arterial lesions spatially colocalized with renal cortical infarctions. Lesions were noted in additional abdominal organs in 4 of the 50 calves and were exclusively present in the liver in a single calf. Similar arterial lesions were also noted in the lungs (3/4), kidneys (1/4), liver (1/4), and spleen (1/4) of unimplanted calves receiving similar IV antibiotic regimens for bacterial infections. Lesions were observed with therapeutic IV doses of cephalosporins with or without aminoglycosides over shorter intervals than previously implicated. Lesions were significantly associated with increased peripheral eosinophil counts and mildly elevated, not reduced, arterial pulse pressures. This report documents the features of an idiosyncratic drug reaction with features strongly suggestive of an acute type-I hypersensitivity in this species.

AB - Repeated bolus intravenous (IV) administration of large doses of beta-lactams and aminoglycosides has previously been associated with the development of eosinophilic and occlusive arterial lesions limited to the lungs in calves. Reviewing 13 years worth of records from left ventricular assist device implantation studies, morphologically identical segmental arterial lesions were present in 32 of the 56 calves receiving IV antibiotics, affecting lungs (6/50), kidneys (12/56), or lungs and kidneys (14/50). In 16 of these calves, renal arterial lesions spatially colocalized with renal cortical infarctions. Lesions were noted in additional abdominal organs in 4 of the 50 calves and were exclusively present in the liver in a single calf. Similar arterial lesions were also noted in the lungs (3/4), kidneys (1/4), liver (1/4), and spleen (1/4) of unimplanted calves receiving similar IV antibiotic regimens for bacterial infections. Lesions were observed with therapeutic IV doses of cephalosporins with or without aminoglycosides over shorter intervals than previously implicated. Lesions were significantly associated with increased peripheral eosinophil counts and mildly elevated, not reduced, arterial pulse pressures. This report documents the features of an idiosyncratic drug reaction with features strongly suggestive of an acute type-I hypersensitivity in this species.

UR - http://www.scopus.com/inward/record.url?scp=84875839308&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875839308&partnerID=8YFLogxK

U2 - 10.1177/0192623312450630

DO - 10.1177/0192623312450630

M3 - Article

C2 - 22700648

AN - SCOPUS:84875839308

VL - 41

SP - 519

EP - 527

JO - Toxicologic Pathology

JF - Toxicologic Pathology

SN - 0192-6233

IS - 3

ER -