Resumen

PAEZ, Hugo; VARGAS, Lina Patricia; SARMIENTO, María Paula  y  FLOREZ, Andrés. Rare adverse reactions to antibiotics: Vancomycin induced agranulocytosis. Acta Med Colomb [online]. 2014, vol.39, n.3, pp.279-282. ISSN 0120-2448.

The drug-induced blood dyscrasias are caused by the interaction of different drugs with the hematopoietic cells through specific receptors. Other pathophysiologic mechanisms may be by direct toxicity to bone marrow or peripheral cells, hypersensitivity, immunological defects secondary to viral infections, mixed or unknown mechanisms. The first associations were described in the thirties. Drugs with higher relative risk of a granulocytosis or aplastic anemia are antithyroid, carbamazepine, sulfonylurea, indomethacin and piroxicam among others. The report of a clinical case in an adult patient who after the administration of vancomycin presented agranulocytosis with resolution of the clinical picture after its suspension, is presented.

Palabras clave : vancomycin; antibiotics; agranulocytosis; adverse effects.

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