Vancomycin anaphylaxis in a patient with vancomycin-induced red man syndrome.
Vancomycin is a powerful glycopeptide antibiotic that is increasingly being used owing to the emergence of highly resistant organisms such as methicillin-resistant Staphylococcus aureus. Although a generally safe medication, administration of vancomycin is not benign, and there have been a number of adverse reactions reported. We present the case of a patient with vancomycin-induced red man syndrome who developed vancomycin anaphylaxis. Our case illustrates that red man syndrome may be a marker for true vancomycin allergy, although it was generally not thought of as so in the past.
Hassaballa
H
H
Department of Internal Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA.
Mallick
N
N
Orlowski
J
J
D000707:Anaphylaxis / Q000139:chemically induced*; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011537:Pruritus / Q000139:chemically induced; D014640:Vancomycin / Q000009:adverse effects*
D000900:Anti-Bacterial Agents; D014640:Vancomycin