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Amoxicillin Can Induce Aseptic Meningitis
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We have read with great interest the review of Moris and Garcia-Monco1 on the challenge of drug-induced aseptic meningitis. We would like to point out another antibiotic drug, amoxicillin, that is not listed in this review. Amoxicillin, a commonly used antibiotic, can induce aseptic meningitis, as we reported this year in the British Medical Journal.2 We think our well-documented study is a valuable addition to the drug list in the review.
Wolfgang M. Czerwenka, MD
Zurich, Switzerland
1. Moris G, Garcia-Monco J. The challenge of drug-induced aseptic meningitis. Arch Intern Med. 1999;159:1185-1194.
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2. Czerwenka W, Gruenwald C, Cohen D. Aseptic meningitis after treatment with amoxicillin. BMJ. 1999;318:1521.
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In reply
Czerwenka et al1 have recently shown that amoxicillin is to be added to the list of drugs that can induce aseptic meningitis. As mentioned in our review,2 the fact that the culprit drug is an antibiotic poses a challenge to the clinician, who has to weigh the risk of withdrawing an antibiotic against the possibility of facing an infectious meningitis. The reason the article was not included in our review . . . [Full Text of this Article]
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