Cross sensitivity between ciprofloxacin and levofloxacin for an immediate hypersensitivity reaction

被引：14
|
作者：
Anovadiya, Ashish P. [1 ]
Barvaliya, Manish J. [1 ]
Patel, Tejas K. [1 ]
Tripathi, C. B. [1 ]
机构：
[1] Govt Med Coll, Dept Pharmacol, Bhavnagar 364001, Gujarat, India
来源：
JOURNAL OF PHARMACOLOGY & PHARMACOTHERAPEUTICS | 2011年 / 2卷 / 03期
关键词：
Cross sensitivity; ciprofloxacin; fluoroquinolones; levofloxacin;
D O I：
10.4103/0976-500X.83285
中图分类号：
R9 [药学];
学科分类号：
1007 ;
摘要：
Seven years old male child (24 kg weight) diagnosed as a case of sub acute appendicitis treated with ciprofloxacin, immediately developed multiple erythmatous papules. Reaction subsided after withholding ciprofloxacin and treatment with dexamethasone and chlorpheneramine maleate. It was developed again when treated with levofloxacin and subsided after withdrawal. IgE binding at 7th position of core structure of fluoroquinolones likely to be the mechanism. As all the fluoroquinolones have similar core structure, hypersensitivity to one may have cross sensitivity to other fluoroquinolones. It is advisable to avoid other fluoroquinolones and switch over to other group of antibiotics when hypersensitivity to one occurs.
引用
收藏
页码：187 / 188
页数：2
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