CIPRO - DRUG REACTION
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Wanted you to know about a really impressive reaction I saw recently. The
patient, who is allergic to sulfa, usually carries macrodantin with her
when she travels in case she gets a UTI. She recently found herself in Rome
with a UTI, but without her macrodantin. She went to a Roman hospital,
where she was given Cipro. After a week on the drug, she developed an
eruption beginning on the feet and ankles, later spreading up as high as
the axillae. She stopped the drug, and the rash now (two weeks later) is
resolving in the opposite (caudad) direction. Clinically, the eruption was
a florid macular pigmented purpura (capillaritis). Thought you might be
interested in this one for your list.


James R. (Jay) McCarty, M.D.
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