Article Text
Summary
Ergotism is an ischaemic complication due to vasoconstriction throughout the body due to ingestion of ergotamine. A 34-year-old Hispanic man with HIV infection treated with saquinavir, ritonavir and abacavir/lamivudine presented to the emergency department complaining of left foot pain 1 week prior to admission. The affected extremity was cold with absence of pedal and tibial pulses. Arterial Doppler revealed absent arterial flow from the popliteal artery later confirmed by arteriography. Medication reconciliation revealed a recent prescription for migraine headache containing ergotamine. Drug was discontinued and the patient was started on cilostazol, enoxaparin and nitroglycerin patches on the affected limb. Complete resolution of symptoms and arteriography findings occurred 2 days after therapy began.
- interventional cardiology
- drugs and medicines
- drug interactions
- infections
- infectious diseases
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Footnotes
Twitter @AlfredoIardinoS
Contributors AI: manuscript writing, editing, bibliographic search, patient care, treatment strategy, publication. OG, AI: manuscript writing, editing, bibliographic search. GL, AI: manuscript writing. FL, AI: manuscript writing, editing, bibliographic search, patient care, treatment strategy, publication. Senior Advisor. AI and FL had the same contribution to this manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.