Hypersensitivity and anaphylactoid reactions to ciprofloxacin.

Autor: Deamer RL; Ventura County Medical Center, Office of Medical Education, CA 93003., Prichard JG, Loman GJ
Jazyk: angličtina
Zdroj: The Annals of pharmacotherapy [Ann Pharmacother] 1992 Sep; Vol. 26 (9), pp. 1081-4.
DOI: 10.1177/106002809202600905
Abstrakt: Objective: To report three cases of life-threatening hypersensitivity reactions to the oral administration of ciprofloxacin.
Case Summary: Life-threatening hypersensitivity reactions to oral ciprofloxacin, characterized by diffuse, erythematous, nonpruritic, blanching rash, with fever and hypotension, occurred in two HIV-infected patients. One of these reactions was considered anaphylactoid. A similar hypersensitivity reaction was documented in a non-HIV-infected patient.
Discussion: Premarketing clinical trials described no reports of life-threatening anaphylactoid hypersensitivity reactions to ciprofloxacin. However, postmarketing surveillance studies have documented their occurrence. Seven cases of anaphylactoid reaction to ciprofloxacin have now been documented in HIV-infected patients.
Conclusions: As with trimethoprim/sulfamethoxazole, HIV-infected people treated with ciprofloxacin may be at special risk for hypersensitivity reactions.
Databáze: MEDLINE