Hypersensitivity reactions to Liposomal Amphotericin in a bone marrow
transplant patient
Abstract
Introduction: Hodgkin’s lymphoma is one of the treatable types of blood
cancer. Autologous bone marrow transplantation is used as one way to
treat this disease. Neutropenic fevers are treated with antibiotics and
antifungals; including amphotericin B. Adverse effects and
hypersensitivity to Liposomal Amphotericin, Ambisome, are very few
compared to conventional amphotericin. Case report: In this case, we
noticed hypersensitivity reactions to the Ambisome, represented by an
increase in body temperature, a drop in blood pressure, hypo-oxygenemia,
in addition to an increase in the heart rate. Case management: The
patient was treated with injections of hydrocortisone, Chlorpheniramine,
and normal saline, in addition to giving oxygen, he is improved.
Conclusion: In spite of the few cases that have recorded
hypersensitivity reactions to the Ambisome, it is necessary to conduct
an allergy test and to monitor the patient well when giving the
Ambisome, especially in the first dose.