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Correspondence
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Volume 328:584-585 February 25, 1993 Number 8
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Pseudo-Red-Man Syndrome

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To the Editor: Red-man syndrome is a well-known erythematous reaction involving the upper trunk in patients who have received vancomycin1. The flushing may be associated with pruritus and hypotension. It appears to be caused by histamine, other mediators, or vancomycin itself. Teicoplanin is a newer glycopeptide antibiotic with an antimicrobial spectrum similar to that of vancomycin, but with a very long half-life. It is not known to be associated with red-man syndrome2. Red-man syndrome appeared to develop in the following patient after he received teicoplanin.

The patient was a 65-year-old man who had undergone quadruple coronary-artery bypass surgery. . . . [Full Text of this Article]

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