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T Cell Mediated Reaction to Amoxicillin
Emergency Medicine: Open Access

Emergency Medicine: Open Access
Open Access

ISSN: 2165-7548

+44 1223 790975

Medical Image - (2015) Volume 5, Issue 1

T Cell Mediated Reaction to Amoxicillin

Moshe Ben-Shoshan*
Department of Pediatrics, McGill University Health Center, Montreal, Quebec, Canada
*Corresponding Author: Moshe Ben-Shoshan, Assistant Professor, Division of Pediatric Allergy and Clinical Immunology, Department of Pediatrics, McGill University Health Center, Montreal, Quebec, Canada, Tel: 514-412-4400(23151), Fax: 514-412-4390 Email:

Description

An eight-year-old boy who one month ago presented at the emergency room due to hives. The hives developed a few days after treatment with amoxicillin for an ear infection. This was his first exposure to amoxicillin. The symptoms lasted a few days. There was no involvement of mucosal membranes and he presented with no respiratory, gastrointestinal or cardiovascular symptoms.

A graded challenge to amoxicllin was positive 5 hours later. He developed flushing, itchiness and swelling mainly of his limbs and face that lasted 3 days (Figure 1 and 2). Complete blood count, liver enzymes, C-reactive protein, sedimentation rate , creatinin and C3 , C4 levels taken during his reaction were within the normal limits for his age. This an example of a non-immediate likely T cell mediated reaction to amoxicillin

emergency-medicine-T-Cell-Mediated-Reaction

Figure 1: T Cell Mediated Reaction to Amoxicillin

emergency-medicine-Flushing-itchiness

Figure 2: Flushing, itchiness and swelling in hand

Citation: Shoshan MB (2015) T Cell Mediated Reaction to Amoxicillin. Emerg Med (Los Angel) 5: i106.

Copyright: © 2015 Ben-Shoshan M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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