ISSN 2321–3647
Sat, 18 Nov 2017

Vancomycin Induced Red Man Syndrome in Infant with Obstructive hydrocephalus 2o to Arnold Chain Malformation

Michelle Ting Lee Lee*1, Muhammad Zahid Iqbal1, Muhammad Shahid Iqbal1, Tan Su Ping1, Michella Tan Sheau Yee1, Heng Soo Teing1

1. Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, AIMST University Malaysia.


ABSTRACT

6 months old Indian Girl with underlying obstructive hydrocephalus secondary to Arnold-Chiari malformation and ruptured lumbosacral myelomeningocele, repaired on Day 2 of life (19/12/13) with problem of gross hydrocephalus block VP shunt associated with CONS, for removal of VP shunt and Omaya reservoir on Saturday with Day 26 post-revision of VP shunt. Child completed IV Cefazolin 280mg QID for 14days, CSF C&S x3 shows Staphyloccus Aureus coagulase negative, currently on IV Vancomycin 85mg 8hourly (15mg/kg/dose). Child developed facial puffiness and periorbital edema after last IV Vancomycin dose. No reaction after latest dose of IV Vancomycin.

Keywords: Red Man Syndrome, Obstructive Hydrocephalus, Arnold Chain Malformation, Paediatric


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