Cutaneous sensitivity to purified benzylpenicillin

Drug-induced fever

Humans maintain body temperature within a narrow range. Drug administration can upset the usual balance and cause a fever. The drug may interfere with heat dissipation peripherally, increase the rate of metabolism, evoke a cellular or humoral immune response, mimic endogenous pyrogen, or damage tissues. The fever may be a result of the pharmacological action of the drug or some other unrelated effect. Drug-induced fever is most commonly the result of a hypersensitivity reaction and its characteristics resemble those of an allergic reaction. The fever most commonly occurs after 7 to 10 days of drug administration, persists as long as the drug is continued, disappears soon after stopping the drug, and will rapidly reappear if the drug is restarted. The agents most commonly associated with causing fever include the penicillins, cephalosporins, antituberculars, quinidine, procainamide, methyldopa, and phenytoin.

Immunological properties of dialysis retentates from penicillin

Retentates from benzylpenicillin preparations marketed in Canada were used in immunological studies in order to determine if they were immunogenic in experimental animals with respect to anaphylactic antibody production. The retentates obtained consisted mainly of penicillin polymers. Impurities of protein nature were either insignificant or absent. The penicillin polymers were found to be non-immunogenic in Albino Wistar rats, Wistar Furth rats and Hartley guinea pigs. Furthermore, they were unable to effect positive PCA tests in rats passively sensitized to the penicilloyl determinant.

Reduction in incidence of ampicillin rash by purification of ampicillin

Purification of ampicillin (Penbritin) with respect to protein impurities has been found significantly to reduce the incidence of rashes in treated patients. This may be related to findings in animals that injections of the isolated protein impurity can induce the formation of circulating IgG antibodies and skin-sensitizing antibodies.