Mafenide acetate allergy presenting as recurrent chondritis

Acute chondritis has a strong predilection for recurrence. Mafenide acetate has been implicated in causing reactions that mimic this condition; however, these hypersensitivity reactions lack fever, fluctuance, and pain. The authors report a case of mafenide acetate allergy presenting as recurrent ch...

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Veröffentlicht in:Annals of plastic surgery 2002-02, Vol.48 (2), p.202-204
Hauptverfasser: PICKUS, Evan J, LIONELLI, Gerald T, WOODALL, Charles E, KORENTAGER, Richard A
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container_end_page 204
container_issue 2
container_start_page 202
container_title Annals of plastic surgery
container_volume 48
creator PICKUS, Evan J
LIONELLI, Gerald T
WOODALL, Charles E
KORENTAGER, Richard A
description Acute chondritis has a strong predilection for recurrence. Mafenide acetate has been implicated in causing reactions that mimic this condition; however, these hypersensitivity reactions lack fever, fluctuance, and pain. The authors report a case of mafenide acetate allergy presenting as recurrent chondritis in a patient who had previously been treated successfully for this condition. In this patient, the allergic response resolved within 3 days after cessation of mafenide acetate. If unappreciated, it may have led to unnecessary operative intervention. Therefore, auricular edema and erythema, without fever, fluctuance, and pain, must be recognized by surgeons as a possible mafenide acetate allergy and must be considered in the differential diagnosis for patients who present with recurrent acute suppurative chondritis.
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subjects Adult
Anti-Infective Agents, Local - adverse effects
Anti-Infective Agents, Local - therapeutic use
Biological and medical sciences
Burns - drug therapy
Diagnosis, Differential
Drug Hypersensitivity - diagnosis
Drug Hypersensitivity - etiology
Drug Hypersensitivity - therapy
Drug toxicity and drugs side effects treatment
Ear, External - injuries
Humans
Mafenide - adverse effects
Mafenide - therapeutic use
Male
Medical sciences
Miscellaneous (drug allergy, mutagens, teratogens...)
Osteochondritis - diagnosis
Osteochondritis - etiology
Osteochondritis - therapy
Otitis Externa - diagnosis
Otitis Externa - etiology
Otitis Externa - therapy
Pharmacology. Drug treatments
Recurrence
Tars - adverse effects
Treatment Outcome
title Mafenide acetate allergy presenting as recurrent chondritis
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