Document Detail


Severe sulfadiazine hypersensitivity in a child with reactivated congenital toxoplasmic chorioretinitis.
MedLine Citation:
PMID:  16511396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 7-year-old with congenital toxoplasmosis who took pyrimethamine and sulfadiazine for reactivated chorioretinitis developed fever, severe cutaneous involvement, swelling, abdominal pain and transaminitis, persisting weeks after withholding medicines. Symptoms resolved when systemic corticosteroids were administered. This case underscores problems in clinical management with sulfadiazine hypersensitivity, potential immunosuppression from corticosteroids and selection of medications for recurrences of toxoplasmic chorioretinitis.
Authors:
Rima McLeod; Asif Rashid Khan; Gwendolyn A Noble; Paul Latkany; Jessica Jalbrzikowski; Kenneth Boyer;
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  25     ISSN:  0891-3668     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-02     Completed Date:  2006-05-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  270-2     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, The University of Chicago, Chicago, IL 60637, USA. rmcleod@midway.uchicago.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Antiprotozoal Agents / administration & dosage,  adverse effects*,  therapeutic use
Child
Chorioretinitis / congenital*,  drug therapy,  parasitology
Drug Hypersensitivity / etiology,  physiopathology*
Drug Therapy, Combination
Eosinophilia / etiology
Female
Humans
Pyrimethamine / administration & dosage,  therapeutic use
Recurrence
Severity of Illness Index
Sulfadiazine / administration & dosage,  adverse effects*,  therapeutic use
Toxoplasma / drug effects
Toxoplasmosis, Ocular / congenital*,  drug therapy,  parasitology
Grant Support
ID/Acronym/Agency:
AI 27530/AI/NIAID NIH HHS
Chemical
Reg. No./Substance:
0/Antiprotozoal Agents; 58-14-0/Pyrimethamine; 68-35-9/Sulfadiazine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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