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Ryoji Tsuboi - One of the best experts on this subject based on the ideXlab platform.

  • immediate type hypersensitivity and late Phase Reaction occurred consecutively in a patient receiving ethambutol and levofloxacin
    Allergy Asthma & Clinical Immunology, 2018
    Co-Authors: Yukihiko Kato, Miho Nakasu, Yu Sato, Ryoji Tsuboi
    Abstract:

    We experienced a rare case of immediate type hypersensitivity and late Phase Reaction to anti-tubercular therapy consisting of ethambutol and levofloxacin, which occurred in close succession, giving the appearance of a single, continuous Reaction to one drug. The patient was a man in his 70’s who began therapy consisting of isoniazide, rifampicin, and ethambutol for pulmonary tuberculosis. Since the patient had a drug eruption within several hours after the start of his treatment, his Reaction to ethambutol was assessed first among the three suspected drugs using an oral challenge test. Levofloxacin, which was not among the suspected drugs, was administered with ethambutol in order to avoid drug resistance resulting from the administration of a single drug. The patient experienced pruritus within 1 h. We observed a well-defined, edematous erythema with induration, which persisted for several days after the patient received the two drugs. Next, skin tests were performed with ethambutol and levofloxacin. The skin Reaction to ethambutol and levofloxacin consisted of two different types of allergic Reaction, a immediate type Reaction and Phase Reaction. This is the first report of a late Phase Reaction and immediate type hypersensitivity occurring in quick succession in the same patient. Subsequent skin tests were able to prove the presence of these two different types of allergic Reactions.

  • Immediate type hypersensitivity and late Phase Reaction occurred consecutively in a patient receiving ethambutol and levofloxacin
    BMC, 2018
    Co-Authors: Yukihiko Kato, Miho Nakasu, Yu Sato, Ryoji Tsuboi
    Abstract:

    Abstract Background We experienced a rare case of immediate type hypersensitivity and late Phase Reaction to anti-tubercular therapy consisting of ethambutol and levofloxacin, which occurred in close succession, giving the appearance of a single, continuous Reaction to one drug. Case presentation The patient was a man in his 70’s who began therapy consisting of isoniazide, rifampicin, and ethambutol for pulmonary tuberculosis. Since the patient had a drug eruption within several hours after the start of his treatment, his Reaction to ethambutol was assessed first among the three suspected drugs using an oral challenge test. Levofloxacin, which was not among the suspected drugs, was administered with ethambutol in order to avoid drug resistance resulting from the administration of a single drug. The patient experienced pruritus within 1 h. We observed a well-defined, edematous erythema with induration, which persisted for several days after the patient received the two drugs. Next, skin tests were performed with ethambutol and levofloxacin. The skin Reaction to ethambutol and levofloxacin consisted of two different types of allergic Reaction, a immediate type Reaction and Phase Reaction. Conclusion This is the first report of a late Phase Reaction and immediate type hypersensitivity occurring in quick succession in the same patient. Subsequent skin tests were able to prove the presence of these two different types of allergic Reactions

Paul Marshall - One of the best experts on this subject based on the ideXlab platform.

Yukihiko Kato - One of the best experts on this subject based on the ideXlab platform.

  • immediate type hypersensitivity and late Phase Reaction occurred consecutively in a patient receiving ethambutol and levofloxacin
    Allergy Asthma & Clinical Immunology, 2018
    Co-Authors: Yukihiko Kato, Miho Nakasu, Yu Sato, Ryoji Tsuboi
    Abstract:

    We experienced a rare case of immediate type hypersensitivity and late Phase Reaction to anti-tubercular therapy consisting of ethambutol and levofloxacin, which occurred in close succession, giving the appearance of a single, continuous Reaction to one drug. The patient was a man in his 70’s who began therapy consisting of isoniazide, rifampicin, and ethambutol for pulmonary tuberculosis. Since the patient had a drug eruption within several hours after the start of his treatment, his Reaction to ethambutol was assessed first among the three suspected drugs using an oral challenge test. Levofloxacin, which was not among the suspected drugs, was administered with ethambutol in order to avoid drug resistance resulting from the administration of a single drug. The patient experienced pruritus within 1 h. We observed a well-defined, edematous erythema with induration, which persisted for several days after the patient received the two drugs. Next, skin tests were performed with ethambutol and levofloxacin. The skin Reaction to ethambutol and levofloxacin consisted of two different types of allergic Reaction, a immediate type Reaction and Phase Reaction. This is the first report of a late Phase Reaction and immediate type hypersensitivity occurring in quick succession in the same patient. Subsequent skin tests were able to prove the presence of these two different types of allergic Reactions.

  • Immediate type hypersensitivity and late Phase Reaction occurred consecutively in a patient receiving ethambutol and levofloxacin
    BMC, 2018
    Co-Authors: Yukihiko Kato, Miho Nakasu, Yu Sato, Ryoji Tsuboi
    Abstract:

    Abstract Background We experienced a rare case of immediate type hypersensitivity and late Phase Reaction to anti-tubercular therapy consisting of ethambutol and levofloxacin, which occurred in close succession, giving the appearance of a single, continuous Reaction to one drug. Case presentation The patient was a man in his 70’s who began therapy consisting of isoniazide, rifampicin, and ethambutol for pulmonary tuberculosis. Since the patient had a drug eruption within several hours after the start of his treatment, his Reaction to ethambutol was assessed first among the three suspected drugs using an oral challenge test. Levofloxacin, which was not among the suspected drugs, was administered with ethambutol in order to avoid drug resistance resulting from the administration of a single drug. The patient experienced pruritus within 1 h. We observed a well-defined, edematous erythema with induration, which persisted for several days after the patient received the two drugs. Next, skin tests were performed with ethambutol and levofloxacin. The skin Reaction to ethambutol and levofloxacin consisted of two different types of allergic Reaction, a immediate type Reaction and Phase Reaction. Conclusion This is the first report of a late Phase Reaction and immediate type hypersensitivity occurring in quick succession in the same patient. Subsequent skin tests were able to prove the presence of these two different types of allergic Reactions

Kaoru Fujimoto - One of the best experts on this subject based on the ideXlab platform.

Abdellatif Goumri - One of the best experts on this subject based on the ideXlab platform.