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Protein binding of vancomycin in a patient with immunoglobulin A myeloma
Journal article   Open access   Peer reviewed

Protein binding of vancomycin in a patient with immunoglobulin A myeloma

Thomas G Cantú, James D Dick, David E Elliott, Richard L Humphrey and David M Kornhauser
Antimicrobial agents and chemotherapy, Vol.34(7), pp.1459-1461
07/1990
DOI: 10.1128/AAC.34.7.1459
PMCID: PMC176003
PMID: 2386376
url
https://doi.org/10.1128/AAC.34.7.1459View
Published (Version of record) Open Access

Abstract

Atypical vancomycin pharmacokinetics were observed in an immunoglobulin A myeloma patient. Drug concentrations in serum were extremely elevated, the elimination half-life was prolonged despite normal renal function, and the vancomycin therapy was ineffective. Extensive binding of vancomycin, presumably by high concentrations of an aberrant immunoglobulin A protein, may have accounted for these observations.

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