Reactions 1704, p120 - 2 Jun 2018 Allergy: case report A 69-year-old man developed allergy during treatment with cotrimoxazole [sulfamethoxazole/ trimethoprim; route and dosage not stated]. The man had a history of benign prostatic hyperplasia, anaemia and hypertension. In August 2015, he started drinking a health drink called ’Imumio Miracle Water’ that was hydrogen enriched water with super lutein. After 2 3 weeks, he developed nodular skin lesions involving bilateral upper limbs and lost 3kg of weight. He discontinued the drink in September 2015. Examinations showed cervical, axillary and mediastinal lymphadenopathy, and he was referred to infectious disease service for suspected Kikuchi disease. Later, he was diagnosed with Mycobacterium mucogenicum infection. Subsequently, his treatment was started with cotrimoxazole along with linezolid and oral clarithromycin. However, he developed allergy to cotrimoxazole. Consequently, the man’s cotrimoxazole therapy was discontinued. Later, his underlying condition resolved following treatment with clarithromycin and linezolid [duration of treatment to reaction onset and outcome not stated]. Author comment: "The patient had oral clarithromycin, [cotrimoxazole], and linezolide at OPD, but we soon discontinued [cotrimoxazole] due to allergy." Wang L-S, et al. Mycobacterium mucogenicum infection presenting with generalized follicular hyperplasia and prurigo nodularis in an immunocompetent patient. International Journal of Antimicrobial Agents 50 (Suppl. 2): S97-S98, Nov 2017. Available from: URL: http://doi.org/10.1016/S0924-8579(17)30423-5 [abstract] - Taiwan 803323924 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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