Desensitization therapy using 'Mariana Castells' protocol in a patient with multiple autoimmune disorders- does it work?

Journal of Community Hospital Internal Medicine Perspectives
Syed Raza ShahSue-Wei Luu

Abstract

Clinical use of antibiotics is becoming more widespread with each passing day for various infectious diseases. This has caused an abrupt increase in hypersensitivity reactions linked to these drugs, sometimes preventing the use of first-line therapies. In these patients, clinical presentation may vary from mild skin infections to life-threatening anaphylactic reactions. Our patient is a 30 year old female with past medical history significant for mast cell activation syndrome and multiple autoimmune diseases who presented with chief complaint of fever. Patient was diagnosed with MSSA bacteremia requiring the start of an antibiotic regimen. Mariana castells protocol was used for desensitizing the patient before starting her on antibiotic regimen. Patient was desensitized in 2 days using the standard 12-step protocol and started on cefazolin for her long-term treatment of the infection. No acute episodes of drug hypersensitivity were reported. During the course of her hospital admission, she improved significantly with no complications. Our patient having a history of both multiple autoimmune diseases and mast-cell activation syndrome tolerated the protocol well with no complications. Appropriate treatment of the reactions includ...Continue Reading

References

Jun 6, 2006·The Journal of Allergy and Clinical Immunology·Mariana C Castells
Jul 11, 2006·Current Opinion in Allergy and Clinical Immunology·Mariana Castells
Nov 8, 2006·Current Opinion in Allergy and Clinical Immunology·Mariana Castells
May 27, 2008·The Journal of Allergy and Clinical Immunology·Mariana C CastellsUrsula A Matulonis

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Citations

Sep 27, 2019·Allergy·Cristobalina MayorgaMaría José Torres
Nov 2, 2021·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Lawrence B Afrin

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