Levofloxacin-induced radiation recall dermatitis: A case report and a review of the literature Journal Article


Authors: Wernicke, A. G.; Swistel, A.; Parashar, B.; Myskowski, P.
Article Title: Levofloxacin-induced radiation recall dermatitis: A case report and a review of the literature
Abstract: Radiation recall dermatitis (RRD) is a rare phenomenon. There are a few reports in the literature reporting RRD triggered by quinolones administration after external beam radiation therapy (EBRT). We present an unusual case of RRD induced by levofloxacin 7 months after completion of EBRT. A 56-year-old Caucasian female was treated with EBRT for stage I carcinoma of the right breast with whole breast irradiation followed by the boost to the tumor bed to a total dose of 6080 cGy. Seven months post completion of EBRT, levofloxacin was administered for an upper respiratory tract infection. On day 8 of levofloxacin, the patient developed a blistering RRD in the skin overlying the area of previous radiation portals. Discontinuation of the RRD-inducing antibiotic and appropriate therapy led to the resolution of the condition. We review literature emphasizing this quinolone antibiotic as a causative of RRD.
Keywords: adult; middle aged; case report; drug withdrawal; radiation dose; radiotherapy, adjuvant; sentinel lymph node biopsy; breast neoplasms; pruritus; anti-bacterial agents; breast carcinoma; partial mastectomy; erythema; radiation therapy; external beam radiotherapy; drug substitution; levofloxacin; radiation dermatitis; ofloxacin; upper respiratory tract infection; carcinoma, lobular; clobetasol; quinolone; clindamycin; radiodermatitis; blister; famciclovir; antibiotic; papulovesicular rash; radiation recall dermatitis; respiratory tract infections
Journal Title: Clinical Breast Cancer
Volume: 10
Issue: 10
ISSN: 1526-8209
Publisher: Elsevier Inc.  
Date Published: 2010-10-01
Start Page: 404
End Page: 406
Language: English
DOI: 10.3816/CBC.2010.n.054
PUBMED: 20920986
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: CBCLB" - "Source: Scopus"
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  1. Patricia Myskowski
    216 Myskowski