Coexistent Actinomycosis and Eumycetoma in an Immunocompetent Patient
Abstract
the patient may have taken, or due to the coloring agent titanium dioxide present in the tablet of levocetirizine. However, detailed history taking excluded possibility of both, as there was no other drug intake during last 4 weeks. Also, the patient did not develop any reaction on provocation with fexofenadine, which contained titanium dioxide. The provocation with all other suspected drugs taken by the patient was negative.We report this case to highlight a rare side effect of cetirizine and levocetirizine. Clinicians should have a high index of suspicion and should be aware of the possibility of reactions to these drugs also, which themselves are very frequently prescribed to manage drug reactions.
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