ABSTRACT
A case illustrating the potential for hypertensive crisis in the ambulatory dental patient under treatment with monoamine oxidase inhibitors is presented. It is somewhat unique in that it appears to contradict much of the literature, which states that circulating, endogenous catecholamines are not expected to be a factor in initiating this potentially severe complication. Since this patient had not taken any food or drink prior to the appointment, it may be conjectured that endogenous catecholamines released as a result of stress and dental pain initiated the crisis.
Subject(s)
Hypertension/etiology , Stress, Physiological/complications , Stress, Psychological/complications , Tranylcypromine/adverse effects , Adult , Female , Flurazepam/adverse effects , Headache/etiology , HumansABSTRACT
A report of an anaphylactic reaction to oral penicillin is presented; the relative pharmacologic reactions are reviewed; the initial signs and symptoms are analyzed; and a successful treatment method is described.