A Rare Case of Levofloxacin-Induced Acute Pancreatitis: Case Report and Literature Review

Cureus. 2023 Jul 31;15(7):e42743. doi: 10.7759/cureus.42743. eCollection 2023 Jul.

Abstract

Diagnosing acute pancreatitis induced by any drug is often overlooked and warrants careful evaluation. Drug-induced acute pancreatitis is relatively rare, and diagnosis of exclusion after ruling out alcohol, gallstones, hypertriglyceridemia, and intervention. Levofloxacin, a class of fluoroquinolones, is generally recommended against various bacterial infections. While levofloxacin is mainly known for its potential side effects, such as photosensitivity and liver toxicity, it can also rarely induce acute pancreatitis. We report a case of acute pancreatitis in a female patient precipitated by levofloxacin. The patient exhibited typical manifestations of acute pancreatitis and had been taking levofloxacin for a urinary tract infection over the past three days. After ruling out other possible causes, her clinical presentation, laboratory results, and imaging findings confirmed levofloxacin-induced acute pancreatitis.

Keywords: acute pancreatitis; drug-induced acute pancreatitis; fluoroquinolones; levofloxacin toxicity; severe acute pancreatitis.

Publication types

  • Case Reports