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Red-man syndrome after vancomycin: potential cross-reactivity with teicoplanin
1Cardiothoracic Division, South Cleveland Hospital, Middlesbrough, UK.
Abstract:
We report a patient with infective endocarditis who developed a severe form of Red-man syndrome after vancomycin. On substituting the antibiotic to teicoplanin, the patient went on to develop a dramatic pyrexia which settled only after the teicoplanin was discontinued. This suggested that there may be an element of cross-reactivity between teicoplanin and vancomycin in such patients and that teicoplanin may not be the most appropriate substitute in all cases of vancomycin-induced Red-man syndrome.
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