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Ofloxacin Induced Angioedema: A Rare Adverse Drug Reaction
Gautam Rawal1, Sankalp Yadav2, Raj Kumar3
1Attending Consultant-Respiratory Intensive Care, Max Super Specialty Hospital , Saket, New Delhi, India .
Abstract:
The Adverse Drug Reaction (ADR) to a commonly prescribed anti-microbial can pose a major public health problem. The authors report a rare case of 24-year-old young lady who presented with angioedema of lips after ingestion of Ofloxacin, prescribed to her for treatment of loose motions. Fluoroquinolones are widely prescribed antibiotics for various disease conditions. The history, clinical examination and normal laboratory parameters led to the diagnosis of ofloxacin induced hypersensitivity reaction and the patient was successfully treated with corticosteroids and antihistamines. The hypersensitivity reactions to fluoroquinolones are rare with an incidence of 0.4% to 2%. The pharmacovigilance program and self-reporting of all the ADR's by the health care workers can help in ensuring the judicious use of the drug, drug safety and thus decrease the associated morbidity and mortality.
Insights
A rare angioedema adverse drug reaction (ADR) occurred in a young woman after taking Ofloxacin. Prompt treatment with corticosteroids and antihistamines led to successful recovery, highlighting the importance of ADR monitoring.
Area of Science:
- Pharmacology
- Clinical Medicine
- Public Health
Background:
- Adverse Drug Reactions (ADRs) to antimicrobials are a significant public health concern.
- Fluoroquinolones, including Ofloxacin, are commonly prescribed antibiotics.
- Hypersensitivity reactions to fluoroquinolones are infrequent, occurring in 0.4% to 2% of cases.
Observation:
- A 24-year-old female presented with lip angioedema following Ofloxacin ingestion for diarrhea.
- Clinical evaluation and normal lab results supported the diagnosis of an Ofloxacin-induced hypersensitivity reaction.
- The patient responded well to treatment with corticosteroids and antihistamines.
Findings:
- The case confirms Ofloxacin as a potential cause of rare hypersensitivity reactions like angioedema.
- Successful management involved standard anti-allergy medications.
- The incidence of such reactions underscores the need for vigilance.
Implications:
- Enhanced pharmacovigilance and mandatory ADR reporting by healthcare professionals are crucial.
- Promoting judicious Ofloxacin use can improve drug safety.
- Reducing ADRs minimizes associated patient morbidity and mortality.
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