The Rational Clinical Examination
David L. Simel, Drummond Rennie
Penicillin Allergy
Alan R. Salkind, Paul G. Cuddy, John W. Foxworth
Clinical Scenarios
Topics Discussed:
allergy to penicillin, exanthema, penicillin, penicillin adverse reaction
Excerpt:
"An 18-year-old male college student presents with group A streptococcal
pharyngitis, and you prescribe penicillin.1 The
patient informs you that he developed a rash after taking about
half a penicillin prescription for a respiratory tract infection
3 years ago. The rash was bright red, was restricted to the extremities
and trunk, and resolved several days after penicillin was discontinued...."
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