Acute respiratory failure due to gentamicin aerosolization

Monaldi Arch Chest Dis. 1998 Jun;53(3):274-6.

Abstract

We report a paradoxical episode of near-fatal bronchoconstriction which occurred in an adult bronchiectatic subject, with chronic Pseudomonas aeruginosa airways colonization, immediately after his first inhalation of a gentamicin solution. This adverse reaction may be due to the gentamicin itself, the physical properties of the solution, or preservatives in the (commercially available) gentamicin solution.

Publication types

  • Case Reports

MeSH terms

  • Administration, Inhalation
  • Aerosols
  • Aged
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / adverse effects*
  • Bronchiectasis / complications
  • Gentamicins / administration & dosage
  • Gentamicins / adverse effects*
  • Humans
  • Male
  • Pseudomonas Infections / complications
  • Pseudomonas Infections / drug therapy
  • Respiratory Insufficiency / chemically induced*
  • Respiratory Tract Infections / complications
  • Respiratory Tract Infections / drug therapy

Substances

  • Aerosols
  • Anti-Bacterial Agents
  • Gentamicins