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Why can people who are hypersensitive to penicillin also react to cephalosporins?

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Patients who are hypersensitive to penicillin may experience allergic reactions to cephalosporins because the two classes of antibiotics share a similar chemical structure. Both groups are classified as β-lactam antibiotics, and this structural similarity can lead to cross-reactivity in individuals who have been previously sensitized to penicillin.12

While cephalosporins are often considered as an alternative treatment for patients with penicillin allergies, the potential for a hypersensitivity reaction remains due to these shared structural characteristics.12