Skip to main content
Thorax logoLink to Thorax
. 1989 Apr;44(4):307–309. doi: 10.1136/thx.44.4.307

Sulfadoxine specific lymphocyte transformation in a patient with eosinophilic pneumonia induced by sulfadoxine-pyrimethamine (Fansidar).

P T Daniel 1, J Holzschuh 1, P A Berg 1
PMCID: PMC461805  PMID: 2763233

Abstract

A patient developed eosinophilic peripheral pulmonary infiltrates while receiving malaria prophylaxis with sulfadoxine-pyrimethamine (Fansidar). Withdrawal of Fansidar and treatment with corticosteroids led to rapid recovery. No exacerbation occurred after cessation of corticosteroids. Lymphocyte transformation testing gave a positive result in the presence of sulfadoxine but not pyrimethamine. It is concluded that drug hypersensitivity to sulfadoxine was the cause of the eosinophilic pneumonia in this patient.

Full text

PDF
307

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berg P. A., Daniel P. T. Co-trimoxazole-induced hepatic injury--an analysis of cases with hypersensitivity-like reactions. Infection. 1987;15 (Suppl 5):S259–S264. doi: 10.1007/BF01643200. [DOI] [PubMed] [Google Scholar]
  2. Berg P. A., Daniel P. T., Holzschuh J., Brattig N. Medikamentöse Allergien. Diagnose und Immunpathogenese. Dtsch Med Wochenschr. 1987 Jan 15;113(2):65–73. [PubMed] [Google Scholar]
  3. Brattig N. W., Diao G. J., Berg P. A. The specificity of the lymphocyte transformation test in a patient with hypersensitivity reactions to pyrazolone compounds. A 10-week follow-up study before and after rechallenge. Eur J Clin Pharmacol. 1988;35(1):39–45. doi: 10.1007/BF00555505. [DOI] [PubMed] [Google Scholar]
  4. Buser P., Räber J. Eosinophiles Lungeninfiltrat unter Malariaprophylaxe mit Pyrimethamin-Sulfadoxin (Fansidar). Schweiz Med Wochenschr. 1985 Aug 24;115(34):1174–1176. [PubMed] [Google Scholar]
  5. Davis W. B., Fells G. A., Sun X. H., Gadek J. E., Venet A., Crystal R. G. Eosinophil-mediated injury to lung parenchymal cells and interstitial matrix. A possible role for eosinophils in chronic inflammatory disorders of the lower respiratory tract. J Clin Invest. 1984 Jul;74(1):269–278. doi: 10.1172/JCI111411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gaensler E. A., Carrington C. B. Peripheral opacities in chronic eosinophilic pneumonia: the photographic negative of pulmonary edema. AJR Am J Roentgenol. 1977 Jan;128(1):1–13. doi: 10.2214/ajr.128.1.1. [DOI] [PubMed] [Google Scholar]
  7. Liebow A. A., Carrington C. B. The eosinophilic pneumonias. Medicine (Baltimore) 1969 Jul;48(4):251–285. doi: 10.1097/00005792-196907000-00001. [DOI] [PubMed] [Google Scholar]
  8. McCormack D., Morgan W. K. Fansidar hypersensitivity pneumonitis. Br J Dis Chest. 1987 Apr;81(2):194–196. doi: 10.1016/0007-0971(87)90140-9. [DOI] [PubMed] [Google Scholar]
  9. Saal J. G., Daniel P. T., Berg P. A., Waller H. D. Indoprofen-induced aplastic anaemia in systemic lupus, diagnosed by lymphocyte transformation tests. Lancet. 1985 Jun 22;1(8443):1450–1451. doi: 10.1016/s0140-6736(85)91880-x. [DOI] [PubMed] [Google Scholar]
  10. Svanbom M., Rombo L., Gustafsson L. Unusual pulmonary reaction during short term prophylaxis with pyrimethamine-sulfadoxine (Fansidar). Br Med J (Clin Res Ed) 1984 Jun 23;288(6434):1876–1876. doi: 10.1136/bmj.288.6434.1876. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Warren D. J., Moore M. A. Synergism among interleukin 1, interleukin 3, and interleukin 5 in the production of eosinophils from primitive hemopoietic stem cells. J Immunol. 1988 Jan 1;140(1):94–99. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES