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Cross-reactivity between piperacillin–tazobactam and cefoperazone–sulbactam in drug-induced immune thrombocytopenia
| Content Provider | SAGE Publishing |
|---|---|
| Author | He, Xiaoyan Huang, Wanting Wan, Xiong Li, Xiaoya Chang, Qiuhong Ding, Ling |
| Copyright Year | 2023 |
| Abstract | Beta-lactam antibiotics commonly cause immune thrombocytopenia. Cross-reactivity in patients with drug-induced immune thrombocytopenia has rarely been reported. In this study, we describe the case of a 79-year-old man who developed thrombocytopenia after receiving piperacillin–tazobactam for an acute exacerbation of chronic obstructive pulmonary disease, and he was successfully treated with meropenem and cefotiam. However, thrombocytopenia recurred after cefoperazone–sulbactam administration. This indicated that cross-reactivity of platelet-specific antibodies occurred between piperacillin–tazobactam and cefoperazone–sulbactam. However, the responsible drug structures remain unknown, requiring further investigation. Likewise, chemical structure similarities among beta-lactam antibiotics must be examined to determine the risk of immune thrombocytopenia in the clinical setting. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/03000605231162434?download=true |
| ISSN | 03000605 |
| Issue Number | 3 |
| Volume Number | 51 |
| Journal | Journal of International Medical Research (IMR) |
| e-ISSN | 14732300 |
| DOI | 10.1177/03000605231162434 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2023-03-26 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2023 |
| Subject Keyword | cross-reaction tazobactam sulbactam thrombocytopenia cefoperazone Piperacillin |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biochemistry (medical) Cell Biology Biochemistry |
