Which organ fails due to high dose methotrexate

Which organ fails due to high dose methotrexate

Systemic therapy of high-dose methotrexate is associated with failure of which organ? 

Renal failure can be seen during treatment with high-dose methotrexate. Patients should be given aggressive hydration, urinary alkalinization, and leucovorin rescue when treated with high-dose methotrexate.

Additionally, glucarpidase was recently approved as a rescue treatment of toxic methotrexate plasma concentrations in patients with delayed methotrexate clearance due to impaired renal function.

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