In the primary care setting Amoxicillin is one of the most widely used antibiotics.Amoxicillin in combination with a beta-lactamase inhibitor is widely preferred i.e combination with clavulanic acid or sulbactam.The major complication to be aware of is hypersensitivity reactions caused by amoxicillin.Amoxicillin can develop type-I, II, III, or IV reactions.A type-IV hypersensitivity reaction is more papular or morbilliform and often not itchy.As a part of our daily routine ward rounds, we came across a case of maculopapular skin rashes on the lower back portion of a 60 years diabetic female patient.These maculopapular rashes were found to be crimson red with severe itching.The reason for this was turned out to be drug-induced maculopapular rashes by amoxicillin/clavulanate.Since a majority of cases are reported on the adverse drug reactions on amoxicillin, it is important to have close monitoring of the patients who are prescribed with the drug amoxicillin or its combinations.
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