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KMID : 1143120120020040280
Asia Pacific Allergy
2012 Volume.2 No. 4 p.280 ~ p.282
Biphasic anaphylaxis to gemifloxacin
Yilmaz Insu

Dogan Serkan
Tutar Nuri
Kanbay Asiye
Buyukoglan Hakan
Demir Ramazan
Abstract
Anaphylaxis have been documented as adverse effects of ciprofloxacin, ofloxacin, norfloxacin, levofloxacin, and moxifloxacin. However resistant and biphasic anaphlylactic reactions to gemifloxacin have not been reported to date. Management of severe anaphylaxis in the elderly can be complicated by concurrent medications such as beta (¥â) adrenergic, alpha (¥á) adrenergic blockers and angiotensin-converting enzyme (ACE) inhibitors. We report here in the case of a 60-year-old male who was taking on ACE inhibitor, ¥á and ¥â blockers and experienced a severe, resistant and biphasic anaphlylactic reaction to gemifloxacin mesylate.
KEYWORD
Alpha blocker, Beta blocker, Biphasic anaphylaxis, Gemifloxacin, ACE inhibitor
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