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Updated: Aug 14, 2026

Nanomechanics of Drug-target Interactions and Antibacterial Resistance Detection
Published on: October 25, 2013
Vancomycin-induced neutropenia associated with fever: similarities between two immune-mediated drug reactions
1State University of New York at Buffalo School of Pharmacy, and the Clinical Pharmacokinetics Laboratory, Millard Fillmore Hospital, USA. psmith@mfhs.edu
Abstract:
A 39-year-old woman being treated for osteomyelitis with vancomycin developed severe neutropenia and drug fever. After she discontinued therapy, both disorders quickly resolved. These adverse reactions have rarely been reported with vancomycin, and share many similarities with regard to clinical features and postulated mechanisms of induction. To our knowledge this is the first case documenting drug fever as a principal component of vancomycin-induced neutropenia, and provides further evidence in support of an immune-mediated mechanism.
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