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KMID : 0363220170550070445
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Korean Journal of Dermatology
2017 Volume.55 No. 7 p.445 ~ p.448
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Levofloxacin-induced Fixed Drug Eruption: A Case Report
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Han Sung-Soo
Oh Eui-Hyun
Kwon Hyoung-Il
Ko Joo-Yeon
Ro Young-Suck
Kim Jeong-Eun
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Abstract
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Fixed drug eruptions (FDEs) are characterized by the presence of site-specific recurrence of a solitary or multiple, well-circumscribed, erythematous macules or patches that recur with each exposure to a particular medication. Several drugs including non-steroidal anti-inflammatory drugs, non-opioid analgesics, sedatives, anticonvulsants, sulfonamides, and tetracycline have been associated with an increased risk of inducing FDE. A 45-year-old woman with known history of levofloxacin use presented with erythematous patches on her face and left forearm. Although a patch test to levofloxacin showed a negative reaction, intradermal tests to assess hypersensitivity to levofloxacin were positive, and she was diagnosed with levofloxacin-induced FDE. Her antibiotic was switched to moxifloxacin, which she tolerated well. Moxifloxacin did not show cross-reactivity. Because of the widespread use of fluoro-quinolones, it is important to consider these as possible etiological agents in cases of FDE. We describe a case of FDE diagnosed using positive intradermal tests to detect sensitivity to levofloxacin.
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KEYWORD
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Fixed drug eruption, Levofloxacin
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