Concluded Case

5 yr male ,our old case ,same history start with fever , mefenic acid given yesterday but after afternoon he develop swelling eye lid. last month he have same complain to rt eye with lip. o examination temreure 98 systemic normal . mild nasal congestion present. d d

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Concluded answer

Drug hypersensitivity following mefenic acid. Withdrawal of the drug and use of anti allergic

All Answers

Mefenic acid allergy. Now change the NSAID next time. Mefenamic acid may increase your risk of heart problems, including heart attack, stroke, heart failure, or blood clot. These conditions can be fatal.

DIFFERENTIAL DIAGNOSIS:_ Allergic conjunctivitis Angioedema Preseptal cellulitis Insect bite Drug allergy

Seems a case of preseptal cellulitis..secondary to sinusitis.but signs of inflammation are not present ,may be due to effect of anti inflammatory.... DD are angioedema, insectbite etc

If only one eye is involved better get eye check from opthamologist and r/o drug allergy of fresh conjuctivitis or any underlying eye problem

Thanx dr Dinesh Gupta
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Drug Allergy,Insect bites,Allergic conjunctivitis

Drug allergy Allergic conjunctivitis

Could be Angioedema due to allergy to mefanamic acid . Better to avoid this drug in future for this patient. DD Insect bite, conjunctivitis Antihistaminics, . Short course of steroids, if needed

SUGGESTIVE OF ALLERGIC CONJUNCTIVITIS DD ANGIOEDEMA CELLULITIS INSECT. BITE

Allergic Reaction/Conjunctivitis

Mefanic acid allergy do not give this drug in future Tab cetrizine and morning Tab wysolone for three days

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