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Document Details :

Title: Probable hypersensitivity reaction to vancomycin associating rash, fever and neutropenia
Author(s): DAUBY N, FINK W, SEYLER L, LUCE S, NOUWYNCK C, TAS S, JACOBS F
Journal: Acta Clinica Belgica
Volume: 67    Issue: 3   Date: 2012   
Pages: 226-228
DOI: 10.2143/ACB.67.3.1003068

Abstract :






We describe the case of a 54-year old woman with breast cancer who was treated by vancomycin for febrile neutropenia due to a methicillin-resistant Staphyloccocus epidermidis infection of a surgically implanted catheter. She developed an hypersensitivity reaction to vancomycin associating neutropenia, fever, skin rash and elevated liver enzymes following re-challenge with vancomycin after having been misdiagnosed with septic thrombophlebitis. Following this re-challenge, neutrophils count fell dramatically but promptly resolved after cessation of vancomycin.