Life-threatening Chlorhexidine Anaphylaxis: A Case Report
- Author:
Kow Ry, Mbbs (Imu), Low Cl, Mbbs (Imu), Ruben Jk, Ms Orth (Um), Zaharul-Azri Mz, Ms Orth (Usm), Ng Ms, Md (Usu)
- Publication Type:Case Report
- Keywords:
anaphylaxis, chlorhexidine, life threatening, hypersensitivity
- From:Malaysian Orthopaedic Journal
2017;11(2):72-74
- CountryMalaysia
- Language:English
-
Abstract:
Chlorhexidine is a common antiseptic and disinfectant used
in the medical field. Allergy to chlorhexidine has been
reported in the literature but life-threatening anaphylactic
shock is rare. We present a case of severe anaphylactic shock
due to chlorhexidine occurring during surgery. Literatures
suggest that profound anaphylactic shock to chlorhexidine is
commonly preceded by milder, non-specific reactions. These
mild symptoms are often dismissed by both the patient and
physicians alike. Direct questioning of these symptoms is
necessary as a part of the pre-operative assessment and the
patient should be referred for further immunology testing if
indicated.
