Acute localized exanthematous pustulosis is a localized variant of acute
generalized exanthematous pustulosis, which is characterized by the eruption of
multiple scattered pustules following drug administration. A 72-year-old woman
presented with multiple erythematous pustules on her face, which had appeared
two days after using cefoperazone and sodium sulbactam. Histopathological
findings showed subcorneal pustules and mixed inflammatory cell infiltration in
the dermis. The pustules resolved within about two weeks after the patient
discontinued the antibiotics. This report discusses the case of a woman with a
cutaneous drug reaction consistent with acute localized exanthematous pustulosis
that occurred after cefoperazone and sodium sulbactam were administered.