Desensitization therapy in a patient with furosemide allergy.
Allergy to furosemide is a rare phenomenon. Desensitization to this sulfa-containing drug has not been frequently performed. We describe a patient with severe congestive heart failure and type I allergy to furosemide. Because of the severity of her condition, we decided to use a rapid intravenous desensitization protocol. Following the desensitization, the patient was treated with intravenous and oral furosemide with a dramatic improvement in her clinical state. We suggest that rapid desensitization may be a safe and effective way of introducing furosemide to allergic patients for whom loop diuretics are urgently indicated.
Shteinberg
Michal
M
Department of Internal Medicine B, Lady Davis Carmel Medical Center Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology Haifa, Israel.
Karkabi
Basheer
B
Cohen
Shai
S