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KMID : 0893420230240060077
Journal of Veterinary Science
2023 Volume.24 No. 6 p.77 ~ p.77
Simultaneous hypersensitivity reactions to trimethoprim-sulfamethoxazole and amoxicillin-clavulanate in a dog
Jeong Yun-Ho

Kim Yoon-Hwan
Ahn Jin-Ok
Chung Jin-Young
Abstract
Antibiotics are known to be able to cause hypersensitivity reactions through various mechanisms. We present a case of drug-induced immune thrombocytopenia (DITP) and anaphylactic shock occurring simultaneously in a dog after the administration of two classes of antibiotics, namely trimethoprim-sulfamethoxazole (TMP-SMX) and amoxicillin-clavulanate (AMC). The patient recovered completely from DITP on discontinuation of TMP-SMX and the anaphylactic shock caused by AMC was treated with intensive care. DITP is a rare adverse drug reaction (ADR), and anaphylactic shock is a life-threatening ADR. This is the first case report of a dog manifesting two types of hypersensitivity reactions caused by two antibiotics.
KEYWORD
Case reports, immune thrombocytopenia, adverse drug reaction, anaphylactic shock, antibiotics
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