Abstract
A 50-year-old woman known to have type 1 diabetes mellitus presented with a rare case of angio-oedema associated with colistin use. The angio-oedema was temporally associated with the use and discontinuation of colistin with the reasonable exclusion of important differential diagnoses. Pseudoallergy may be a probable underlying mechanism. However, we cannot exclude the possibility of hereditary angio-oedema type 2 or 3, or that her concomitant medications (particularly enalapril) and her renal impairment contributed to the risk and severity of her angio-oedema.
MeSH terms
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Acinetobacter baumannii / isolation & purification
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Angioedema* / chemically induced
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Angioedema* / diagnosis
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Angioedema* / physiopathology
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Angioedema* / therapy
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Anti-Allergic Agents / administration & dosage
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / adverse effects
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Colistin / administration & dosage
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Colistin / adverse effects*
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Diagnosis, Differential
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Female
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Humans
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Hydrocortisone / administration & dosage*
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Middle Aged
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Promethazine / administration & dosage*
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Sepsis / diagnosis
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Sepsis / drug therapy*
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Sepsis / etiology
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Treatment Outcome
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Urinary Tract Infections / complications*
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Urinary Tract Infections / microbiology
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Withholding Treatment
Substances
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Anti-Allergic Agents
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Anti-Bacterial Agents
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Promethazine
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Hydrocortisone
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Colistin