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Published on: October 29, 2020
Ciprofloxacin-induced erythema multiforme
H S Shilpashree1, Shriprasad Sarapur
1Department of Oral Medicine and Radiology, RKDF Dental College and Research Center, Bhopal, Madhya Pradesh, India.
Abstract:
Ciprofloxacin is one of the most commonly used antibacterial agents with relatively few side effects. Serious adverse reactions reported with ciprofloxacin are rare with an incidence of 0.6%. One of the side effects of ciprofloxacin is erythema multiforme (EM). EM is an acute, self -limiting mucocutaneous hypersensitivity syndrome. It exhibits a diverse etiology, often recurs, has unusual clinical features and is of uncertain etiopathogenesis. It usually exhibits a distinctive skin or mucosal lesions that are characterized by combination of bullae, papules, macules or ulcers. It is most probably an immunologically mediated process. With the use of ciprofloxacin becoming more and more widespread, fatal complications of ciprofloxacin should be borne in mind. In this article we present a case of ciprofloxacin induced erythema multiforme in 40 year old woman.
Insights
Ciprofloxacin, a common antibiotic, can rarely cause erythema multiforme (EM), a severe skin reaction. This case highlights a 40-year-old woman who developed EM after ciprofloxacin use, emphasizing the need to consider serious side effects.
Area of Science:
- Pharmacology
- Dermatology
- Immunology
Background:
- Ciprofloxacin is a widely prescribed fluoroquinolone antibiotic known for its broad-spectrum activity.
- Adverse reactions to ciprofloxacin are uncommon, with a reported incidence of serious events around 0.6%.
Observation:
- Erythema multiforme (EM) is an acute, self-limiting hypersensitivity reaction affecting skin and mucous membranes.
- EM presents with characteristic lesions, including bullae, papules, macules, or ulcers, and is often immunologically mediated.
Findings:
- This article details a case of erythema multiforme induced by ciprofloxacin in a 40-year-old female patient.
- The case underscores a rare but significant adverse reaction associated with ciprofloxacin therapy.
Implications:
- Awareness of ciprofloxacin-induced EM is crucial for clinicians managing patients on this antibiotic.
- Prompt recognition and management of EM can prevent potentially severe complications associated with fluoroquinolone use.
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