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 .

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.

Related Concept Videos

Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
1.5K
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial...
80
Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
919
Pharmacovigilance01:19

Pharmacovigilance

Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
1.9K
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
1.1K
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.5K