Frontiers in Pediatrics (Apr 2021)

Case Report: Maintenance of Desensitization to Nebulized Colomycin Over 10 Years

  • Justyna Sieber,
  • Justyna Sieber,
  • Sabine Renner,
  • Andrea Lakatos-Krepcik,
  • Zsolt Szépfalusi

DOI
https://doi.org/10.3389/fped.2021.663228
Journal volume & issue
Vol. 9

Abstract

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Drug desensitization can be achieved successfully by gradual drug dose increases in different protocols. Most protocols are designed to obtain temporal tolerance. The data on long-term maintenance of drug tolerance is scarce. Based on an IgE-mediated colomycin allergy we describe the maintenance of drug tolerance to nebulized drug for the period of 10 years in a 15-year-old cystic fibrosis patient, proceeded by successful rush intravenous desensitization protocol. The mechanism of drug tolerance is largely speculative; however, long-term maintenance of it seems achievable by continuous local drug application.

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