ABSTRACT
BACKGROUND: Asthma induced by the inhalation of food vapors is unusual and indicative of extreme allergy. Identification of the specific cause and subsequent avoidance is essential. METHODS: We report a patient with asthma who had status asthmaticus following inhalation of boiling hot dog vapors. Prick skin tests were performed to various ingredients of the offending hot dog including chicken, pork, potato, and the aeroallergens. RESULTS: Prick skin tests reacted strongly to chicken and mildly to pork and potato. There was no reaction to aeroallergens. Our patient has not had any acute asthma after avoiding eating and exposure to chicken and hot dog vapors. CONCLUSIONS: Exquisite allergy to chicken was responsible for acute asthma.
Subject(s)
Aerosols/adverse effects , Meat Products/adverse effects , Meat/adverse effects , Status Asthmaticus/chemically induced , Child , Food Hypersensitivity/etiology , Humans , Intradermal Tests , Male , Poultry Products/adverse effectsABSTRACT
At Mexico City General Hospital, a 32-year-old female with autoimmune hemolytic anemia associated with cholelithiasis underwent elective laparoscopic cholecystectomy and splenectomy. The gallbladder and the spleen were delivered intact through a 7-cm extension of the umbilical trocar site. The patient was discharged in excellent condition. We describe the technique of laparoscopic splenectomy and suggest new advantages for the laparoscopic approach to surgery of the spleen.
