A case of Jarisch-Herxheimer reaction in candidiasis treated with systemic fluconazole

Dermatol Ther. 2020 Mar;33(2):e13244. doi: 10.1111/dth.13244. Epub 2020 Feb 17.

Abstract

Jarisch-Herxheimer reaction (JHR) is an acute and self-limited condition, which commonly occurs after treatment for spirochetal infections. Probably, it corresponds to a transient immunological reaction to endotoxin-like products released from the microorganism during the therapy. For this reason, JHR may be associated with many other infectious diseases besides syphilis. Here, we report a case of a patient affected by extended cutaneous candidiasis diagnosed by culture examination; a JHR occurred after an accidental overdose of oral fluconazole.

Keywords: Jarisch-Herxheimer reaction; candidiasis; fluconazole.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / adverse effects
  • Candidiasis* / diagnosis
  • Candidiasis* / drug therapy
  • Fluconazole / adverse effects
  • Humans
  • Inflammation / drug therapy
  • Syphilis*

Substances

  • Anti-Bacterial Agents
  • Fluconazole