Review Article

Occupational Asthma in Antibiotic Manufacturing Workers: Case Reports and Systematic Review

Table 1

Cases of occupational asthma from antibiotics identified at Royal Brompton Hospital in the period 1995–2009.

caseYear of diagnosisWorkplace exposureAllergic symptomsLatencySpecific IgEBronchial provocation test
AgentFEV1 responseIncrease in histamine reactivity

a1995penicillinwheeze19 yearsnot donepenicillinlateYes
b1996amoxicillinwheeze, cough27 yearspenicilloyl G (+)
penicilloyl V (+)
amoxicillinlateyes
c2000amoxicillinwheeze, cough27 yearsamoxicilloyl (+)amoxicillinlateyes
d2009erythromycinwheeze, rhinitis2 yearserythromycin ethylsuccinate (−)erythromycin ethylsuccinatelateYes