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
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
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
Reactions 2 Jun 2018 No. 17040114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved