Cross-reactivity between vancomycin, teicoplanin, and telavancin in patients with HLA-A∗32:01-positive vancomycin-induced DRESS sharing an HLA class II haplotype.

Nakkam, Nontaya; Gibson, Andrew; Mouhtouris, Effie; Konvinse, Katherine C; Holmes, Natasha E; Chua, Kyra Y; Deshpande, Pooja; Li, Danmeng et al. · J Allergy Clin Immunol · 2021

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Abstract

All fifteen patients with HLA-A*32:01 restricted vancomycin-induced DRESS, showed negative <i>ex vivo</i> responses to dalbavancin however two showed cross-reactivity to teicoplanin and telavancin. Adjunctive diagnostic testing should be considered to detect potential cross-reactivity amongst glycopeptides.

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