NITROFURANTOIN has been found to be useful in the treatment of genitourinary-tract infections caused by a variety of bacterial organisms, including those resistant to many other antimicrobial agents. Continuous prophylactic treatment with nitrofurantoin has even been recommended for patients with chronic infections of the urinary tract. 1 Occasional reports have been published about allergies and other toxic reactions to nitrofurantoin: transient alopecia, 1 bilirubinuria, 2 jaundice, drowsiness, dizziness, 2, 3 and slight to moderate arrest of spermatogenesis. More frequently reported untoward reactions include dermatological abnormalities, 1-4 hematological manifestations, 3,5,6 peripheral neuritis, 3,7 and nausea and vomiting. 2,4 Sensitivity to nitrofurantoin was described by Israel and Diamond 8 in a patient with recurrent pulmonary infiltration and pleural effusion. The most dramatic, as well as the most serious, toxic manifestation of treatment with nitrofurantoin is an anaphylactoid reaction. Fisk 9 reported a patient who suffered from headache, epigastric pain radiating to the
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