Case ReportInternational Journal of Advances in Medicine

Publication:
Safety of oral graded challenges as a diagnostic approach hypersensitivity reaction to anti-tuberculosis drugs: a case report

Int J Adv Med. 2022;9(12):1203-1206.DOI10.18203/2349-3933.ijam20223022

Thumbnail Image
View on the journal's website(opens in a new tab)

Abstract

Tuberculosis (TB) still becomes a significant health problem in developing countries, especially in Indonesia. Allergy to antitubercular drugs is a real hindrance to the management of TB. The first-line anti-TB drug (ATD) is still the most effective TB drug, but it can have some side effects. One of these side effects is drug hypersensitivity reactions (DHR) which can affect a patient's compliance. The recommended diagnostic approach to DHR is a graded challenge by introducing drugs safely and optimally under a threshold dose until the usual daily dose is reached. We present a case of DHR to ATB drug and oral graded challenge as the diagnosis approach.

Keywords

Affiliations

  1. Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia
  2. Department of Internal Medicine, Merpati Clinic HIV, Allergy-Clinical Immunology Services Unit, Wangaya General Hospital, Denpasar, Bali, Indonesia

Full item record