Journal List > J Korean Rheum Assoc > v.15(2) > 1003616

Do and Ryu: A Case of Infectious Mononucleosis-like Syndrome Induced by Ceftriaxone and Isepamicin in a Patient with Systemic Lupus Erythematosus

Abstract

A severe adverse reaction to certain drug could be associated with hypersensitivity syndrome, showing the clinical features of infectious mononucleosis including maculopapular rash, fever, lymphadenopathy, leukocytosis, atypical lymphocytes, liver dysfunction, and renal disturbance. We report a systemic lupus erythematosus patient who developed infectious mononucleosis-like syndrome with administration of ceftriaxone/isepamicin for the treatment of pneumonia. This case warrants careful attention to infectious mononucleosis-like syndrome associated with antibiotics administration, especially in febrile patients with known autoimmune diseases such as systemic lupus erythematosus.

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Fig. 1.
Chest CT scan shows consolidation with pa-rapneumonic effusion mainly involving left lower lobe with para-pneumonic effusion. (A) Transverse scan and (B) coronal scan.
jkra-15-148f1.tif
Fig. 2.
Maculopapular rash of face.
jkra-15-148f2.tif
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