Pharmacology · single question

Which of the following is a symptom of penicillin allergy?

  1. Nausea and vomiting
  2. Stevens-Johnson Syndrome
  3. Headache
  4. Diarrhea
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Correct answer: B. Stevens-Johnson Syndrome

  • A. Nausea and vomiting are common SIDE EFFECTS of penicillin but are not immune-mediated ALLERGIC reactions — they are adverse effects, not allergic responses.
  • B. Stevens-Johnson Syndrome (SJS) is a severe, life-threatening Type IV (delayed) hypersensitivity reaction that can occur with penicillin and other antibiotics (sulfonamides, NSAIDs). It involves extensive mucocutaneous necrosis and is a true ALLERGIC manifestation.
  • C. Headache is not a classic manifestation of penicillin allergy.
  • D. Diarrhea is a common side effect/adverse event from penicillin (disruption of gut flora) — it is not an immune-mediated allergic reaction.

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