Case Report

A Rapidly Fatal Case of Low-Dose Methotrexate Toxicity

Table 1

Studies, case series, and case reports regarding low-dose methotrexate toxicity.

AuthorYearStudy typeResults

Nisar et al. [14]1995Retrospective study
1 patient developed pancytopenia and died
Ohosone et al. [15]1997Prospective study
Liver dysfunction: 3.2%
Pancytopenia: 1.4%
No fatality
Calvo-Romero et al. [12]2001Case series
Pancytopenia and renal impairment in both cases with 1 death
Kivity et al. [10]2014Retrospective study
Pancytopenia: 78.5%
Hepatic dysfunction: 28%
Jariwala et al. [16]2014Case series
Pancytopenia, renal dysfunction, and fatality in both cases
Mori et al. [13]2016Retrospective study
(only patients with myelosuppression were included)
Myelosuppression can occur abruptly at any time during therapy
Mameli et al. [17]2017Case reportPancytopenia, renal dysfunction, and death