Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso

Serum sickness (SS) and SS-like reactions (SSLR) are indistinguishable clinical entities but with different pathophysiological processes, particularly regarding its impact on the complement system. The VigiAccess™ database contains only 3 potential SS cases out of 2,890 records for cephalothin repor...

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Main Author: Germán Sepúlveda-Barbosa
Format: Article
Language:English
Published: Asociación Colombiana de Infectología 2022-08-01
Series:Infectio
Subjects:
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author Germán Sepúlveda-Barbosa
author_facet Germán Sepúlveda-Barbosa
author_sort Germán Sepúlveda-Barbosa
collection DOAJ
description Serum sickness (SS) and SS-like reactions (SSLR) are indistinguishable clinical entities but with different pathophysiological processes, particularly regarding its impact on the complement system. The VigiAccess™ database contains only 3 potential SS cases out of 2,890 records for cephalothin reported between 1968 and December 2021, but none for SSLR. This commonly used antibiotic was approved in 1974, and its first clinical studies described that all healthy volunteers could produce SSLR depending on the dose and infusion rate. Here we have the case of a young woman, previously healthy, who suffered an ophidian accident receiving both antivenom and cephalothin, in consequence she developed an apparent SS requiring re-hospitalization, because there was no complement activation and consumption, her recovery was complete and uncomplicated, it was defined as a probable SSLR.
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spelling doaj.art-61122a7aed5044fb8b704c90396bb57b2022-12-22T03:21:21ZengAsociación Colombiana de InfectologíaInfectio0123-93922022-08-01264465467https://doi.org/10.22354/24223794.1099Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un casoGermán Sepúlveda-Barbosa01 Laboratorio Integrado de Medicina Especializada (LIME), Facultad de Medicina, IPS Universitaria, Universidad de Antioquia, Medellín, Antioquia, Colombia. 2 Convenio docente-asistencial, Hospital Universitario San Vicente Fundación, Medellín, Antioquia, Colombia Serum sickness (SS) and SS-like reactions (SSLR) are indistinguishable clinical entities but with different pathophysiological processes, particularly regarding its impact on the complement system. The VigiAccess™ database contains only 3 potential SS cases out of 2,890 records for cephalothin reported between 1968 and December 2021, but none for SSLR. This commonly used antibiotic was approved in 1974, and its first clinical studies described that all healthy volunteers could produce SSLR depending on the dose and infusion rate. Here we have the case of a young woman, previously healthy, who suffered an ophidian accident receiving both antivenom and cephalothin, in consequence she developed an apparent SS requiring re-hospitalization, because there was no complement activation and consumption, her recovery was complete and uncomplicated, it was defined as a probable SSLR.serum sicknessdrug-related side effects and adverse reactionscase report
spellingShingle Germán Sepúlveda-Barbosa
Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
Infectio
serum sickness
drug-related side effects and adverse reactions
case report
title Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
title_full Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
title_fullStr Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
title_full_unstemmed Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
title_short Reacción similar a la enfermedad del suero secundaria al uso de cefalotina: reporte de un caso
title_sort reaccion similar a la enfermedad del suero secundaria al uso de cefalotina reporte de un caso
topic serum sickness
drug-related side effects and adverse reactions
case report
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