Β-lactam antibiotic reactions to any β-lactam antibiotic may occur in up to 10% of patients receiving that agent (a small fraction of which are truly IgE-mediated allergic reactions, see amoxicillin rash). Anaphylaxis will occur in approximately 0.01% of patients. There is perhaps a 5%-10% cross-sensitivity between penicillin-derivatives, cephalosporins, and carbapenems; but this figure has been challenged by various investigators. Nevertheless, the risk of cross-reactivity is sufficient to warrant the contraindication of all β-lactam antibiotics in patients with a history of severe allergic reactions (urticaria, anaphylaxis, interstitial nephritis) to any β-lactam antibiotic. A Jarisch–Herxheimer reaction may occur after initial treatment of a spirochetal
Discovered attack referred to as a "discovered attack" (or "check") "with capture". When the moving piece moves to a square from which it threatens to inflict checkmate on the next move, the tactic is called a "discovered attack with mate threat". A "discovered checkmate" itself is also possible. In exceptional circumstances, it is possible for the moved piece to give a "double discovered check" (though this name is not actually used). The only way for this to happen in orthodox chess is by way of an "en passant" capture. In the position shown at right, Black has just played 1...g7–g5. White replies