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Re: puzzling caseFrom: RModugno@aol.comSat Feb 15 07:20:26 2003
In a message dated 2/14/2003 5:26:46 PM Eastern Standard Time, JOshea1770 writes:
> ??Drug reaction to Macrobid - frequently pulmonary Yeah, John, I was looking through the PDR about the drugs she had received prior to this episode - macrobid, indocin and steroids - when I came across the bit about acute and chronic lung reactions - I actually was aware about nitrofurantoin and pulmonary fibrosis - I always thought this was associated with older patients and chronic use. It's strange that if this was an acute reaction that she has not responded to steroids - the pulmonologist is aware of this and thinks it may be a long shot - but heck - this whole case is very bizarre. She has made the pulmonary pathologist at Mayo aware of the history of macrobid use. We are waiting to hear what his take on this is after he reviews the lung biopsy slides. Macrobid is used very frequently during pregnancy - probably is the preferred drug for cystitis. Thanks for your thoughts. Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com
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