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Table 1 Cefazolin-induced anemia

From: Cefazolin-induced hemolytic anemia: a case report and systematic review of literature

Author (Year)

Study design

Presentation

Hemo-globin nadir

Penicillin sensitivity

(Y/N)

DAT result ( ±)

Other anemia causes excluded (Y/N)

Outcome

Moake et al. [2]

Case report

39 yo F with right renal artery stenosis underwent a renal artery bypass with pre-operative and 4-day postoperative use of cefazolin

6.3

Y

 + 

Y

Complete resolution

Imam et al. [3]

Case report

70 yo M with acute anemia and elevated LDH post cefazolin administration; underwent mitral and tricuspid valve repair and Maze procedure

Δ3.0 g

NS

N

ceftriaxone induced hemolytic anemia was also implicated

Complete resolution

Cerynik et al. [4]

Case report

50 yo M right total knee arthroplasty given pre-operative cefazolin developed anemia, then recovered; administration cefazolin 10 week postop due to knee swelling induced anemia again

14.9 6.9

Δ8

N

 + 

Y

Complete resolution

Macy, E. and Contreras, R. [5]

Retrospective population based analysis

37 yo F cardiac catheterization given pre-operative cefazolin with elevated lactate dehydrogenase post cefazolin administration

7.6

NS

NS

NS

Complete resolution

Moghaddam et al. [6]

Case report

24 yo F hysteroscopy for resection of the uterine septum

12.5 7.0

Δ5.5

N

 + 

N

The patient died of multiple organ failure

  1. *NS  not specified, Δ  delta change
  2. Table describing each study with reported cefazolin-induced hemolytic anemia. Characteristics of study design, patient presentation, hemoglobin lowest reported value, penicillin sensitivity, DAT result, and exclusion of other causes of anemia is specified for each case
  3. Lowest hemoglobin value recorded and delta hemoglobin value was reported if available