ERYTHEMA MULTIFORME AND HYPERSENSITIVITY MYOCARDITIS CAUSED BY AMPICILLIN

被引:15
作者
GARTY, BZ
OFFER, I
LIVNI, E
DANON, YL
机构
[1] Immunology Children’s Medical Center of Israel, Beilinson Medical Campus
[2] Kipper Institute of Pediatric Allergy, Immunology at the Children’s Medical Center of Israel, Petah Tikva
关键词
D O I
10.1177/106002809402800609
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
OBJECTIVE: To report a case of erythema multiforme and hypersensitivity myocarditis caused by ampicillin. CASE SUMMARY: A 13-year-old boy was treated with ampicillin and gentamicin because of suspected septicemia. Medications were discontinued when erythema multiforme and congestive heart failure caused by myocarditis occurred. The patient was treated with methylprednisolone and gradually improved. Macrophage-migration inhibition (MIF) test with ampicillin was positive. DISCUSSION: After most infections causing erythema multiforme and myocarditis were ruled out, a drug-induced allergic reaction was suspected. Positive MIF test for ampicillin showed sensitization of the patient's lymphocytes to ampicillin. CONCLUSIONS: Hypersensitivity myocarditis is a rare and dangerous manifestation of allergy to penicillins.
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页码:730 / 731
页数:2
相关论文
共 16 条
[1]  
ADERKA D, 1986, ANN ALLERGY, V56, P341
[2]  
BURKE AP, 1991, ARCH PATHOL LAB MED, V115, P764
[3]  
DAVID M, 1982, J AM ACAD DERMATOL, V5, P702
[4]   IMMUNOLOGICAL STUDIES IN A CASE OF HEPATITIS FOLLOWING METHYLDOPA ADMINISTRATION [J].
DELPRE, G ;
GRINBLAT, J ;
KADISH, U ;
LIVNI, E ;
SHOHAT, B ;
LEWITUS, Z ;
JOSHUA, H .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1979, 277 (02) :207-213
[5]  
ELDAR M, 1979, S AFR MED J, V55, P318
[6]   DRUG RELATED MYOCARDITIS .1. HYPERSENSITIVITY MYOCARDITIS [J].
FENOGLIO, JJ ;
MCALLISTER, HA ;
MULLICK, FG .
HUMAN PATHOLOGY, 1981, 12 (10) :900-907
[7]   MACROPHAGE-MIGRATION INHIBITION-FACTOR (MIF) IN DRUG ERUPTION [J].
HALEVY, S ;
GRUNWALD, MH ;
SANDBANK, M ;
BUIMOVICE, B ;
JOSHUA, H ;
LIVNI, E .
ARCHIVES OF DERMATOLOGY, 1990, 126 (01) :48-51
[8]   STEROID-RESPONSIVE EOSINOPHILIC MYOCARDITIS - DIAGNOSIS BY ENDOMYOCARDIAL BIOPSY [J].
KIM, CH ;
VLIETSTRA, RE ;
EDWARDS, WD ;
REEDER, GS ;
GLEICH, GJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (10) :1472-1473
[9]   PET FOOD-DERIVED PENICILLIN RESIDUE AS A POTENTIAL CAUSE OF HYPERSENSITIVITY MYOCARDITIS AND SUDDEN-DEATH [J].
MARKUS, CK ;
CHOW, LH ;
WYCOFF, DM ;
MCMANUS, BM .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (15) :1154-1156
[10]   MIGRATION-INHIBITION FACTOR IN ACUTE SERUM SICKNESS NEPHRITIS [J].
PARRA, G ;
MOSQUERA, J ;
RODRIGUEZITURBE, B ;
SALAZAR, D ;
POZO, E .
KIDNEY INTERNATIONAL, 1990, 38 (06) :1118-1124