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Cefepime-Induced Generalized Fixed Drug Eruption With Morbilliform Rash
Grayson P Clark1, Haley M Caldwell2, Christopher A Coop3
1Medicine, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, USA.
Abstract:
Fixed drug eruption (FDE) is a cutaneous reaction that characteristically recurs in the same locations upon re-exposure to the offending drug(s). The typical presentation of FDEs is single or multiple violaceous plaques with hyperpigmentation due to inflammation. The causative agents for FDEs include antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, barbiturates, and anticonvulsants. We present an interesting case of a generalized fixed drug eruption secondary to cefepime that resolved with the cessation of the offending drug and the institution of antihistamines and topical steroids.
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