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环丙沙星和左氧氟沙星之间对于速发型超敏反应的交叉敏感性。

Cross sensitivity between ciprofloxacin and levofloxacin for an immediate hypersensitivity reaction.

作者信息

Anovadiya Ashish P, Barvaliya Manish J, Patel Tejas K, Tripathi C B

机构信息

Department of Pharmacology, Government Medical College, Bhavnagar, Gujarat, India.

出版信息

J Pharmacol Pharmacother. 2011 Jul;2(3):187-8. doi: 10.4103/0976-500X.83285.

Abstract

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 7(th) 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.

摘要

一名7岁男童(体重24千克)被诊断为亚急性阑尾炎,接受环丙沙星治疗后,立即出现多处红斑丘疹。停用环丙沙星并用地塞米松和马来酸氯苯那敏治疗后,反应消退。使用左氧氟沙星治疗时再次出现,停药后消退。氟喹诺酮类药物核心结构第7位的IgE结合可能是其机制。由于所有氟喹诺酮类药物都有相似的核心结构,对一种药物过敏可能对其他氟喹诺酮类药物有交叉过敏反应。当对一种药物过敏时,建议避免使用其他氟喹诺酮类药物,改用其他抗生素组。

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本文引用的文献

1
In vivo diagnostic tests in adverse reactions to quinolones.
J Investig Allergol Clin Immunol. 2007;17(6):393-8.
2
Sulfonamide allergy and cross-reactivity.磺胺类药物过敏与交叉反应。
Curr Allergy Asthma Rep. 2007 Apr;7(1):41-8. doi: 10.1007/s11882-007-0029-8.
3
Cross-reactivity of beta-lactam antibiotics.β-内酰胺类抗生素的交叉反应性。
Proc (Bayl Univ Med Cent). 2001 Jan;14(1):106-7. doi: 10.1080/08998280.2001.11927741.
9
Structure-activity relationships of the fluoroquinolones.氟喹诺酮类药物的构效关系。
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