Angio-oedema associated with colistin

S Afr Med J. 2016 Sep 4;106(10):990-991. doi: 10.7196/SAMJ.2016.v106i10.10835.

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.

Publication types

  • Case Reports

MeSH terms

  • Acinetobacter baumannii / isolation & purification
  • Angioedema* / chemically induced
  • Angioedema* / diagnosis
  • Angioedema* / physiopathology
  • Angioedema* / therapy
  • Anti-Allergic Agents / administration & dosage
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / adverse effects
  • Colistin / administration & dosage
  • Colistin / adverse effects*
  • Diagnosis, Differential
  • Female
  • Humans
  • Hydrocortisone / administration & dosage*
  • Middle Aged
  • Promethazine / administration & dosage*
  • Sepsis / diagnosis
  • Sepsis / drug therapy*
  • Sepsis / etiology
  • Treatment Outcome
  • Urinary Tract Infections / complications*
  • Urinary Tract Infections / microbiology
  • Withholding Treatment

Substances

  • Anti-Allergic Agents
  • Anti-Bacterial Agents
  • Promethazine
  • Hydrocortisone
  • Colistin