[The effectiveness of steroid as adjunctive therapy in the management of two patients with febrile reaction due to antituberculous drugs]

Kekkaku. 2001 Sep;76(9):635-9.
[Article in Japanese]

Abstract

Antituberculous treatment could be continued by using steroid as adjunctive therapy in two patients showing febrile reaction to antituberculous drugs in spite of desensitization therapy. Case 1 (39-year-old man) was admitted to our hospital with positive sputum-smear and bilateral cavitary tuberculosis (b II 2) on chest X-ray. He showed fever of 38-39 degrees C after 8 days of HREZ treatment. Desensitization therapy of RFP with the combined use of prednisolone was enforced, since the exothermic reaction continued in spite of stopping the 4 medicines, and the treatment became possible. Case 2 (40-year-old woman) was admitted with positive sputum-smear and bilateral cavitary tuberculosis (b II 2) on chest X-ray. The administration of drugs was stopped as temperature rose to 38-39 degrees C after 12 days of HREZ treatment. Though the DLST of INH was positive, the treatment with INH became possible by the combined use of PSL.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / adverse effects*
  • Drug Therapy, Combination
  • Female
  • Fever / chemically induced*
  • Fever / drug therapy*
  • Humans
  • Male
  • Prednisolone / administration & dosage*
  • Treatment Outcome
  • Tuberculosis, Pulmonary / drug therapy

Substances

  • Antitubercular Agents
  • Prednisolone