A worker employed in the manufacture of the new third generation cepha
losporin antibiotic, ceftazidime, developed asthmatic symptoms, and a
series of inhalation challenge tests was undertaken to investigate the
problem. The inhalation of increasing daily doses of ceftazidime up t
o 3.2 mg, using a double-blind challenge protocol gave rise to symptom
s, late asthmatic reactions, and increases in airway responsiveness to
methacholine. A repeat challenge with the 3.2 mg dose additionally ga
ve rise to a clear immediate reaction, Ceftazidime was, thus, shown to
be capable of inducing occupational asthma.