[A case of successful desensitization therapy for isoniazid-induced pneumonitis]
- PMID: 15357268
[A case of successful desensitization therapy for isoniazid-induced pneumonitis]
Abstract
A 65-year-old man was admitted to hospital for treatment of pulmonary tuberculosis. He was treated with isoniazid (INH), rifampicin (RFP), ethambutol (EB), and pyrazinamide (PZA). On the 14th day, he developed a fever and interstitial pneumonia, which improved promptly after discontinuation of the antituberculous drugs. Drug lymphocyte stimulation tests against INH, RFP and PZA were negative. However, the provocation test on INH (only) was positive, leading to a diagnosis of pneumonitis caused by INH. We then tried desensitization of INH over a period of two weeks, which was successful and occurred without any clinical event. In the past, five cases of INH-induced pneumonitis were reported, but desensitization of INH did not occur in any. We conclude that physicians should be aware not only of paradoxical reactions but also of drug-induced pneumonitis when a new pulmonary infiltrate develops in the course of tuberculosis treatment. Furthermore, drug desensitization may be possible in some cases of drug-induced pneumonitis.
Similar articles
-
[Agranulocytosis due to anti-tuberculosis drugs including isoniazid (INH) and rifampicin (RFP)--a report of four cases and review of the literature].Kekkaku. 2003 Nov;78(11):683-9. Kekkaku. 2003. PMID: 14672045 Review. Japanese.
-
[Desensitization therapy for allergic reactions of antituberculous drugs--evaluation of desensitization therapy according to the guideline of the Japanese Society for Tuberculosis].Kekkaku. 2000 Dec;75(12):699-704. Kekkaku. 2000. PMID: 11201137 Clinical Trial. Japanese.
-
[A case of isoniazid-induced pneumonitis].Nihon Kokyuki Gakkai Zasshi. 1998 Jan;36(1):100-5. Nihon Kokyuki Gakkai Zasshi. 1998. PMID: 9611986 Japanese.
-
[Pneumonitis induced by rifampicin].Kekkaku. 2011 Apr;86(4):473-6. Kekkaku. 2011. PMID: 21702177 Japanese.
-
[Short-course chemotherapy of tuberculosis with pyrazinamide].Nihon Rinsho. 1998 Dec;56(12):3087-90. Nihon Rinsho. 1998. PMID: 9883615 Review. Japanese.
Cited by
-
Successful osimertinib rechallenge without concomitant corticosteroids after osimertinib-induced pneumonitis.Respir Med Case Rep. 2024 Apr 27;49:102029. doi: 10.1016/j.rmcr.2024.102029. eCollection 2024. Respir Med Case Rep. 2024. PMID: 38712314 Free PMC article.
-
Isoniazid and pulmonary fibrosis.Chin Med J (Engl). 2015 Mar 5;128(5):702-3. doi: 10.4103/0366-6999.151695. Chin Med J (Engl). 2015. PMID: 25698209 Free PMC article. No abstract available.
-
A retrospective study on sequential desensitization-rechallenge for antituberculosis drug allergy.Asia Pac Allergy. 2014 Jul;4(3):156-63. doi: 10.5415/apallergy.2014.4.3.156. Epub 2014 Jul 29. Asia Pac Allergy. 2014. PMID: 25097851 Free PMC article.
-
Development of interstitial pneumonia in a patient with rheumatoid arthritis induced by isoniazid for tuberculosis chemoprophylaxis.Rheumatol Int. 2012 May;32(5):1375-7. doi: 10.1007/s00296-010-1441-2. Epub 2010 Mar 27. Rheumatol Int. 2012. PMID: 20349068
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous