Immunoglobulin E-mediated hypersensitivity reaction after intraperitoneal administration of vancomycin
Kidney Research and Clinical Practice
;
: 57-59, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-206923
ABSTRACT
Intraperitoneal (IP) vancomycin is widely used to treat Gram-positive peritonitis associated with peritoneal dialysis. There have been two cases of red man syndrome (RMS), a vancomycin-specific nonimmunologic reaction, associated with IP vancomycin. However, immune-mediated hypersensitivity reaction to IP vancomycin has not yet been reported. A 49 year old woman on continuous ambulatory peritoneal dialysis developed her first peritonitis episode. The patient was treated with IP vancomycin once/wk for 4 weeks. She experienced mild itching and flushing throughout her body for 1 day after the second treatment. Whenever vancomycin was administered, generalized urticaria and a prickling sensation developed, and the intensity increased gradually; however, these symptoms improved after vancomycin was discontinued. An allergic skin test was performed 6 weeks after the previous urticarial episode, and an intradermal skin test revealed a positive response to vancomycin. To our knowledge, this is the first case report of immunoglobulin E-mediated hypersensitivity reaction to IP vancomycin administration.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Peritonite
/
Prurido
/
Sensação
/
Urticária
/
Imunoglobulinas
/
Testes Cutâneos
/
Vancomicina
/
Diálise Peritoneal
/
Diálise Peritoneal Ambulatorial Contínua
/
Rubor
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Kidney Research and Clinical Practice
Ano de publicação:
2015
Tipo de documento:
Artigo
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