Tang Wesley, Rao Edwina
Department of Medicine, Kettering Medical Center, Kettering, OH, USA.
Eur J Case Rep Intern Med. 2022 Feb 24;9(2):003180. doi: 10.12890/2022_003180. eCollection 2022.
Although allergies to antibiotics are commonly stated, anaphylactic reactions are uncommonly reported. This is especially the case with reactions to fluoroquinolone antibiotics. Furthermore, airway emergencies are rare. We present a case of ciprofloxacin-induced acute airway obstruction and anaphylaxis, necessitating emergent surgical cricothyrotomy following respiratory distress.
Anaphylactic reactions to fluoroquinolone antibiotics are extremely rare.There are currently no standardized diagnostic tests, making the diagnosis of anaphylaxis challenging and largely based on history alone.Treating clinicians should be aware of this rare, but potentially rapidly fatal adverse drug reaction.
虽然对抗生素过敏的情况很常见,但过敏性反应的报告却很少见。氟喹诺酮类抗生素引起的反应尤其如此。此外,气道紧急情况很少见。我们报告一例环丙沙星引起的急性气道梗阻和过敏反应,患者在出现呼吸窘迫后需要紧急进行外科环甲膜切开术。
氟喹诺酮类抗生素引起的过敏反应极为罕见。目前尚无标准化的诊断测试,这使得过敏反应的诊断具有挑战性,且很大程度上仅基于病史。临床治疗医生应意识到这种罕见但可能迅速致命的药物不良反应。