Anaphylactic shock caused by an intradermal skin test-negative antibiotic during general anesthesia: A case report.
10.17085/apm.2016.11.3.260
- Author:
Kyu Nam KIM
1
;
Dong Won KIM
;
Yeong Hun SIN
;
Song Yee OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, Seoul, Korea. dongwkim@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Anaphylaxis;
Anti-bacterial agents;
Intradermal tests
- MeSH:
Anaphylaxis*;
Anesthesia, General*;
Anti-Bacterial Agents;
Hypersensitivity;
Intradermal Tests;
Perioperative Period;
Skin Tests;
Skin*
- From:Anesthesia and Pain Medicine
2016;11(3):260-263
- CountryRepublic of Korea
- Language:English
-
Abstract:
Anaphylaxis during the perioperative period is rare, but it still causes severe cardiovascular and respiratory collapse that can be fatal. In particular, when using antibiotics that have a high risk of hypersensitivity reactions, it is important to establish that intradermal skin tests are negative before using antibiotics. We report a case of anaphylactic shock occurring during general anesthesia after using an intradermal skin test-negative antibiotic. Regrettably, negative results of intradermal skin tests before using antibiotics do not completely eliminate the risk of anaphylaxis. Therefore, anesthesiologists should be prepared for anaphylaxis to occur at any point during the perioperative period.
