A patient was seen in a local emergency department and was treated empirically for pharyngitis with ampicillin and comes to the clinic 2 days later with an urticarial rash
The patient has no previous history of atopy and does not have respiratory symptoms. The primary care NP should suspect: a. scarlatina.
b. mononucleosis.
c. serum sickness.
d. penicillin allergy.
B
A nonallergic urticarial rash occasionally occurs with ampicillin and is common in patients with mononucleosis. This patient has pharyngitis, which was not diagnosed by throat culture. The NP should suspect mononucleosis and a nonallergic rash. Serum sickness and penicillin allergy are possible but less likely. A scarlatiniform rash is not urticarial.
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