Skip to main content

Antibiotic-Induced Anaphylaxis

  • Chapter
  • First Online:
Anaphylaxis and Hypersensitivity Reactions

Abstract

An antibiotic allergic reaction represents one of the side effects of drugs and is a daily worry for the clinician. If urticaria and maculo–papular eruptions are the most frequent manifestations, then anaphylaxis can occur. The tools allowing a definite diagnosis are validated for some antibiotics and include the following procedures: a thorough clinical history, standardized skin tests, reliable biological tests, and drug provocation tests. When properly performed in specialized centers, a firm diagnosis is often possible and safe alternative medication can be proposed. This is particularly the case for b-lactam antibiotics, considering their wide prescription and utility.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Johansson S, Bieber T, Dahl R, et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. J Allergy Clin Immunol 2004;113:832–836.

    Article  PubMed  CAS  Google Scholar 

  2. Gomes ER, Demoly P. Epidemiology of hypersensitivity drug reactions. Curr Opin Allergy Clin Immunol 2005;5:309–316.

    Article  PubMed  Google Scholar 

  3. Gomes E, Cardoso MF, Praça F, et al. Self reported drug allergy in a general adult Portuguese population. Clin Exp Allergy 2004;34:1597–1601.

    Article  PubMed  CAS  Google Scholar 

  4. Sheikh A, Alves B. Hospital admissions for acute anaphylaxis: time trend study. Br Med J 2000;320:1441.

    Article  CAS  Google Scholar 

  5. Pumphrey RS. Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy 2000;30:1144–1150.

    Article  PubMed  CAS  Google Scholar 

  6. Torres MJ, Blanca M, Fernandez J, et al. Diagnosis of immediate allergic reactions to β(beta)-lactam antibiotics. Allergy 2003;58:961–972.

    Article  PubMed  CAS  Google Scholar 

  7. Demoly P, Kropf R, Bircher A, Pichler WJ. Drug hypersensitivity questionnaire. Allergy 1999;54:999–1003.

    Article  PubMed  CAS  Google Scholar 

  8. Brochow K, Romano A, Blanca M, Ring J, Pichler WJ, Demoly P. General considerations for skin test procedures in the diagnosis of drug hypersensitivity. Allergy 2002;57:45–51.

    Google Scholar 

  9. Aberer W, Bircher A, Romano A, et al. Drug provocation testing in the diagnosis of drug hypersensitivity reactions: general considerations. Allergy 2003;58:854–863.

    Article  PubMed  CAS  Google Scholar 

  10. Blanca M, Romano A, Torres MJ, et al. Update on the evaluation of hypersensitivity reactions to β(beta)lactams. Allergy 2009;64:183–193.

    Article  PubMed  CAS  Google Scholar 

  11. Cephalosporin administration to patients with a history of penicillin allergy. The American Academy of Allergy, Asthma and Immunology. http://www.aaaai.org/members/academy_statements/. Accessed April 20, 2010.

  12. Messaad D, Sahla H, Benahmed S, et al. Drug provocation tests in patients with a history suggesting an immediate drug hypersensitivity reaction. Ann Intern Med 2004;42:1001–1006.

    Google Scholar 

  13. Fontaine C, Mayorga L, Bousquet PJ, et al. Relevance of the determination of serm-specific IgE antibodies in the diagnosis of immediate β(beta)-lactam allergy. Allergy 2007;62:47–52.

    Article  PubMed  CAS  Google Scholar 

  14. Manfredi M, Severino M, Testi S, et al. Detection of specific IgE to quinolones. J Allergy Clin Immunol 2004;113:155–160.

    Article  PubMed  CAS  Google Scholar 

  15. Lebel B, Messaad D, Kvedariene V, Rongier M, Bousquet J, Demoly P. Cysteinyl-leukotriene release test (CAST) in the diagnosis of immediate drug reactions. Allergy 2001;56:688–692.

    Article  PubMed  CAS  Google Scholar 

  16. Torres MJ, Padial A, Mayorga C, et al. The diagnostic interpretation of basophil activation test in immediate allergic reactions to β(beta)lactams. Clin Exp Allergy 2004;34:1768–1775.

    Article  PubMed  CAS  Google Scholar 

  17. De Week AL, Sanz ML, Gamboa PM, et al. Diagnostic tests based on human basophils: more potentials and perspectives than pitfalls. II. Technical issues. J Investig Allergol Clin Immunol 2008;18:143–155.

    PubMed  Google Scholar 

  18. Nyfeler B, Pichler WJ. The lymphocyte transformation test for the diagnosis of drug allergy: sensitivity and specificity. Clin Exp Allergy 1997;27:175–181.

    Article  PubMed  CAS  Google Scholar 

  19. Mertes PM, Alla F, Laxenaire MC. Anaphylactic and anaphylactoid reactions occurring during anesthesia in France in 1999–2000. Anesthesiology 2003;99:536–545.

    Article  PubMed  Google Scholar 

  20. Bousquet PJ, Demoly P, Romano A, et al. Pharmacovigilance of drug allergy and hypersensitivity using the ENDA-DAHD database and the GA2LEN platform. The Galenda Project. Allergy 2009;64:194–203.

    Article  PubMed  Google Scholar 

  21. Demoly P, Messaad D, Sahla H, et al. Six-hour trimethoprim-sulfamethoxazole graded challenge in HIV-infected patients. J Allergy Clin Immunol. 1998;102:1033–1036.

    Article  PubMed  CAS  Google Scholar 

  22. Legere III HJ, Palis RI, Rodriguez Bouza T, Uluer AZ, Castells M. A safe protocol for rapid desensitization in patients with cystic fibrosis and antibiotic hypersensitivity. J Cyst Fibros 2009;8:418–424.

    Article  PubMed  Google Scholar 

  23. Lantner RR. Ciprofloxacin desensitization in a patient with cystic fibrosis. J Allergy Clin Immunol 1995;96:1001–1002.

    Article  PubMed  CAS  Google Scholar 

  24. Moss RB, Babin S, Hsu Y, Blessing-Moore J, Levinston NJ. Allergy to semisynthetic penicillins in cystic fibrosis. J Pediatr 1984;104:460–466.

    Article  PubMed  CAS  Google Scholar 

  25. Matz J, Borish LC, Routes JM, Rosenwasser L. Oral desensitization to rifampicin and ethmabutol in Mycobacterial disease. Am J Respir Crit Care Med 1994;149:815–817.

    PubMed  CAS  Google Scholar 

  26. Cars O, Molstad S, Melander A. Variation in antibiotic use in the European Union. Lancet 2001;357:1851–1853.

    Article  PubMed  CAS  Google Scholar 

  27. Guillemot D, Maison P, Carbon C, et al. Trends in antimicrobial drug use in the community-France, 1981–1992. J Infect Dis 1998;177:492–497.

    Article  PubMed  CAS  Google Scholar 

  28. Demoly P, Romano A. Update on b(beta)-lactam allergy diagnosis. Curr Allergy Asthma Rep 2005;5:9–14.

    Article  PubMed  CAS  Google Scholar 

  29. Rebelo Gomes E, Fonseca J, Araujo L, Demoly P. Drug allergy claims in children: from self-reporting to confirmed diagnosis. Clin Exp Allergy 2008;38:191–198.

    PubMed  CAS  Google Scholar 

  30. Apter AJ, Kinman JL, Bilker WB, et al. Represcription of penicillin after allergic-like events. J Allergy Clin Immunol 2004;113:764–770.

    Article  PubMed  Google Scholar 

  31. Blanca M, Mayorga C, Torres MJ, et al. Side chain specific reactions to β(beta)lactams: Fourteen years later. Clin Exp Allergy 2002;32:192–197.

    Article  PubMed  CAS  Google Scholar 

  32. Executive summary of disease management of drug hypersensitivity: a practice parameter. Joint Task Force on Practice Parameters, the American Academy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology, and the Joint Council of Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol 1999;83:665–700.

    Google Scholar 

  33. Romano A, Viola M, Bousquet PJ, et al. A comparison of the performance of two penicillin reagent kits in the diagnosis of β(beta)-lactam hypersensitivity. Allergy 2007;62:53–58.

    Article  PubMed  CAS  Google Scholar 

  34. Co Minh HB, Bousquet PJ, Fontaine C, et al. Systemic reactions during skin tests with β(beta)-lactams: a risk factor analysis. J Allergy Clin Immunol 2006;117:466–468.

    Article  PubMed  Google Scholar 

  35. Torres MJ, Romano A, Mayorga C, et al. Diagnostic evaluation of a large group of patients with immediate allergy to penicillins: the role of skin testing. Allergy 2001;56:850–856.

    Article  PubMed  CAS  Google Scholar 

  36. Chandra RK, Joglekar SA, Tomas E. Penicillin allergy: anti-penicillin IgE antibodies and immediate hypersensitivity skin reactions employing major and minor determinants of penicillin. Arch Dis Child 1980;55:857–860.

    Article  PubMed  CAS  Google Scholar 

  37. Blanca M, Torres MJ, García JJ, et al. Natural evolution of skin test sensitivity in patients allergic to β(beta)-lactam antibiotics. J Allergy Clin Immunol 1999;103:918–924.

    Article  PubMed  CAS  Google Scholar 

  38. Antunez C, Blanca-Lopez N, Torres MJ, et al. Immediate allergic reactions to cephalosporins: Evaluation of cross-reactivity with a panel of penicillins and cephalosporins. J Allergy Clin Immunol 2006;117:424–410.

    Article  Google Scholar 

  39. Romano A, Guéant-Rodriguez RM, Viola M, et al. Diagnosing immediate reactions to cephalosporins. Clin Exp Allergy 2005;35:1234–1242.

    Article  PubMed  CAS  Google Scholar 

  40. Romano A, Guéant-Rodriguez RM, Viola M, et al. Cross-reactivity and tolerability of cephalosporins in patients with immediate hypersensitivity to penicillins. Ann Intern Med 2004;141:16–22.

    PubMed  CAS  Google Scholar 

  41. Romano A, Viola M, Guéant-Rodriguez RM, et al. Imipenem in patients with immediate hypersensitivity to penicillins. N Engl J Med 2006;354:2835–2837.

    Article  PubMed  CAS  Google Scholar 

  42. Romano A, Viola M, Guéant-Rodriguez RM, et al. Brief communication: tolerability of meropenem in patients with IgE-mediated hypersensitivity to penicillins. Ann Intern Med 2007;146:266–269.

    PubMed  Google Scholar 

  43. Gruchalla RS, Pirmohamed M. Antibiotic allergy. N Engl J Med 2006;354:601–609.

    Article  PubMed  CAS  Google Scholar 

  44. Bousquet PJ, Pipet A, Bousquet-Rouanet L, Demoly P. Oral challenges are needed in the diagnosis of β(beta)-lactam hypersensitivity. Clin Exp Allergy 2008;38:185–190.

    PubMed  CAS  Google Scholar 

  45. Campi P, Pichler WJ. Quinolone hypersensitivity. Curr Opin Allergy Clin Immunol 2003;3:275–281.

    Article  PubMed  CAS  Google Scholar 

  46. Blayac JP, Hillaire-Buys D, Pinzani V. Fluoroquinolone and anaphylaxis. Thérapie 1996;51:417–418.

    PubMed  CAS  Google Scholar 

  47. Valdivieso R, Pola J, Losada E, Subiza J, Armentia A, Zapata C. Severe anaphylactoid reaction to nalidixic acid. Allergy 1988;43:71–73.

    Article  PubMed  CAS  Google Scholar 

  48. Davila I, Diez ML, Quirce S, Fraj J, De La Hoz B, Lazaro M. Cross-reactivity between quinolones. Report of three cases. Allergy 1993;48:388–390.

    Article  PubMed  CAS  Google Scholar 

  49. Kurata M, Kasuga Y, Nanba E, Nakamura H, Asano T, Haruta K. Flush induced by fluoroquinolones in canine skin. Inflamm Res 1995;44:461–465.

    Article  PubMed  CAS  Google Scholar 

  50. Araújo L, Demoly P. Macrolides allergy. Curr Pharm Des 2008;14:2842–2862.

    Article  Google Scholar 

  51. Pascual C, Crespo JF, Quiralte J, Lopez C, Wheeler G, Martin-Esteban M. In vitro detection of specific IgE antibodies to erythromycin. J Allergy Clin Immunol 1995;95:668–671.

    Article  PubMed  CAS  Google Scholar 

  52. Benahmed S, Scaramuzza C, Messaad D, Sahla H, Demoly P. The accuracy of the diagnosis of suspected macrolide antibiotic hypersensitivity: results of a single-blinded trial. Allergy 2004;59:1130–1133.

    Article  PubMed  CAS  Google Scholar 

  53. Cabañas R, Caballero MT, Vega A, Martín-Esteban M, Pascual C. Anaphylaxis to trimethoprim. J Allergy Clin Immunol 1996;97:137–138.

    Article  PubMed  Google Scholar 

  54. Gruchalla RS, Sullivan TJ. Detection of human IgE to sulfamethoxazole by skin testing with sulfamethoxazoyl-poly-L-tyrosine. J Allergy Clin Immunol 1991;8:784–792.

    Article  Google Scholar 

  55. Anne’ S, Middleton E Jr, Reisman RE. Vancomycin anaphylaxis and successful desensitization. Ann Allergy 1994;73:422–424.

    Google Scholar 

  56. Renz CL, Laroche D, Thurn JD, Finn HA, Lynch JP, Thisted R, Moss J. Tryptase levels are not increased during vancomycin-induced anaphylactoid reactions. Anesthesiology 1998;89:620–625.

    Article  PubMed  CAS  Google Scholar 

  57. Asero R. Teicoplanin-induced anaphylaxis. Allergy 2006;61:1370.

    Article  PubMed  CAS  Google Scholar 

  58. Schulze S, Wollina U. Gentamicin-induced anaphylaxis. Allergy 2003;58:88–89.

    Article  PubMed  CAS  Google Scholar 

  59. Abeck D, Kuwert C, Segnini-Torres M, Przybilla B, Ring J. Streptomycin-induced anaphylactic reaction during in vitro fertilization (IVF). Allergy 1994;49:388–389.

    Article  PubMed  CAS  Google Scholar 

  60. Iikura M, Yamaguchi M, Hirai K, et al. Case report: streptomycin-induced anaphylactic shock during oocyte retrieval procedures for in vitro fertilization. J Allergy Clin Immunol 2002;109:571–572.

    Article  PubMed  Google Scholar 

  61. Romano A, Viola M, Di Fonso M, Rosaria Perrone M, Gaeta F, Andriolo M. Anaphylaxis to streptomycin. Allergy 2002;57:1087–1088.

    Article  PubMed  CAS  Google Scholar 

  62. Dyck ED, Vadas P. Anaphylaxis to topical bacitracin. Allergy 1997;52:870–871.

    Article  PubMed  CAS  Google Scholar 

  63. Saryan JA, Dammin TC, Bouras AE. Anaphylaxis to topical bacitracin zinc ointment. Am J Emerg Med 1998;16:512–513.

    Article  PubMed  CAS  Google Scholar 

  64. Fox KA. Anaphylaxis caused by polymixin B sulfate and zinc bacitracin ointment. J Emerg Nurs 1994;20:262–264.

    PubMed  CAS  Google Scholar 

  65. Sharif S, Goldberg B. Detection of IgE antibodies to bacitracin using a commercially available streptavidin-linked solid phase in a patient with anaphylaxis to triple antibiotic ointment. Ann Allergy Asthma Immunol 2007;98:563–566.

    Article  PubMed  Google Scholar 

  66. Earl HS, Sullivan TJ. Acute desensitization of a patient with cystic fibrosis allergic to both β(beta)-lactam and aminoglycoside antibiotics. J Allergy Clin Immunol 1987;79:477–483.

    Article  PubMed  CAS  Google Scholar 

  67. Lee YD, Cho Y, Han MS. Anaphylaxis to ribostamycin. Allergy 2004;59:1134–1135.

    Article  PubMed  CAS  Google Scholar 

  68. Magnan A, Venemalm L, Porri F, et al. Anaphylactic reaction to rifamycin SV: presence of specific IgE antibodies. J Allergy Clin Immunol 1999;103:954–956.

    Article  PubMed  CAS  Google Scholar 

  69. Crook MJ. Isoniazid-induced anaphylaxis. J Clin Pharmacol 2003;43:545–546.

    PubMed  Google Scholar 

  70. Harland RW, Lindblom SS, Munnell MO. Anaphylaxis from rifampin. Am J Med 1992;92:581–582.

    Article  PubMed  CAS  Google Scholar 

  71. Bottenberg MM, Wall GC, Hicklin GA. Apparent anaphylactoid reaction after treatment with a single dose of telithromycin. Ann Allergy Asthma Immunol 2007;98:89–91.

    Article  PubMed  CAS  Google Scholar 

  72. Asensio Sánchez T, Dávila I, Moreno E, et al. Anaphylaxis due to metronidazole with positive skin prick test. J Investig Allergol Clin Immunol 2008;18:138–139.

    PubMed  Google Scholar 

  73. Chiou CS, Lin SM, Lin SP, Chang WG, Chan KH, Ting CK. Clindamycin-induced anaphylactic shock during general anesthesia. J Chin Med Assoc 2006;69:549–551.

    Article  PubMed  Google Scholar 

  74. Vaidya SJ, Seydel C, Patel SR, Ortin M. Anaphylactic reaction to liposomal amphotericin B. Ann Pharmacother 2002;36:1480–1481.

    Article  PubMed  Google Scholar 

  75. Rosales MJ, Vega F. Anaphylactic shock due to fosfomycin. Allergy 1998;53:905–907.

    Article  PubMed  CAS  Google Scholar 

  76. Palchick BA, Funk EA, McEntire JE, Hamory BH. Anaphylaxis due to chloramphenicol. Am J Med Sci 1984;288:43–45.

    Article  PubMed  CAS  Google Scholar 

  77. Bensaid B, Rozieres A, Berard F, Bienvenu J, Nicolas JF. IgE-mediated allergy to pristinamycin: the value of skin tests and basophil activation tests. Allergy 2009;64:1694.

    Article  PubMed  CAS  Google Scholar 

  78. Rubio M, Bousquet PJ, Demoly P. IgE-mediated anaphylaxis to pristinamycin—report of a case. Allergy 2010; in press. Allergy 2010;65:1198–9.

    Google Scholar 

Download references

Acknowledgement

The authors would like to thank Ms. Anna Bedbrook for the correction of the English.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pascal Demoly .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Demoly, P., Bousquet, P.J., Romano, A. (2011). Antibiotic-Induced Anaphylaxis. In: Castells, M. (eds) Anaphylaxis and Hypersensitivity Reactions. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-951-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-951-2_10

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-950-5

  • Online ISBN: 978-1-60327-951-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics