Anaphylaxis occurred immediately after prophylactic antibiotics injection with negative intradermal skin test during laparoscopic cholecystectomy.
10.7180/kmj.2018.33.2.245
- Author:
Hyung Joo JEONG
1
;
Hsi Chiang KUNG
;
Tae Woo PARK
;
Dong Hee KANG
;
Yu Som SHIN
;
Ju Deok KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, Busan, Korea. uamyfriends@hanmail.net
- Publication Type:Case Report
- Keywords:
Anaphylaxis;
Antibiotics;
Intradermal tests;
Shock
- MeSH:
Anaphylaxis*;
Anesthesia;
Anesthesia, General;
Anti-Bacterial Agents*;
Bronchial Spasm;
Cholecystectomy, Laparoscopic*;
Intradermal Tests;
Shock;
Skin Tests*;
Skin*
- From:Kosin Medical Journal
2018;33(2):245-251
- CountryRepublic of Korea
- Language:English
-
Abstract:
Prophylactic antibiotics that are used to prevent post-operative infection can commonly cause anaphylactic reactions during anesthesia. It is therefore necessary to perform a skin test before antibiotics are administered in order to diagnose and prevent anaphylactic reactions. However, the results of the antibiotic skin test can differ according to the drug, dose, and reagent concentration. We report a case of anaphylactic shock with bronchospasm and cardiovascular collapse immediately following administration of the prophylactic cefazedone after induction of general anesthesia for laparoscopic cholecystectomy.
