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Leukocytoclastic vasculitis with systemic involvement associated with ciprofloxacin therapy: case report and review of the literature.

dc.contributor.authorMorgado, Bruno
dc.contributor.authorMadeira, Catarina
dc.contributor.authorPinto, Joana
dc.contributor.authorPestana, Joana
dc.date.accessioned2017-04-07T15:55:44Z
dc.date.available2017-04-07T15:55:44Z
dc.date.issued2016-11
dc.description.abstractA 71-year-old woman presented with constitutional signs and lower extremity palpable purpura after being prescribed a four-day course of 500 mg of ciprofloxacin two times daily for a gastrointestinal infection. She was admitted for inpatient treatment. During the third hospital day, she presented with an episode of abundant hematemesis while her skin lesions remained unchanged. Upper endoscopy revealed multiple lesions consistent with vasculitis and histological examination of the skin biopsy disclosed a leukocytoclastic vasculitis. The patient was successfully treated with prednisone following ciprofloxacin discontinuation. Complete resolution of the lesions on drug withdrawal strongly suggested drug toxicity, which was further supported by a score of 8 in the NaranjoAdverse Drug Reaction Probability Scale. Awareness that the development of skin and gastrointestinal lesions following administration of ciprofloxacin may be a manifestation of ciprofloxacin-induced vasculitiscan help early detection, treatment, and lead to an overall good prognosis.
dc.identifier.doi10.7759/cureus.900
dc.identifier.urihttp://hdl.handle.net/10400.1/9206
dc.language.isoeng
dc.peerreviewedyes
dc.relation.isbasedonMEDLINE:28070469
dc.titleLeukocytoclastic vasculitis with systemic involvement associated with ciprofloxacin therapy: case report and review of the literature.
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee900
oaire.citation.issue11
oaire.citation.startPagee900
oaire.citation.titleCureus
oaire.citation.volume8
rcaap.rightsopenAccess
rcaap.typearticle

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