Macadamia Nut-Induced Anaphylactic Shock Requiring Repeated Intramuscular Adrenaline Administration in a Three-Year-Old Girl.

Cases of macadamia nut-induced anaphylactic shock have been rarely reported. We report the case of a three-year-old girl with anaphylactic shock who presented with generalized erythema two hours after ingesting macadamia nuts. She required two doses of intramuscular adrenaline for the treatment of anaphylactic shock. The diagnosis of macadamia nut allergy was confirmed by a prick-by-prick skin test using roasted and raw macadamia nut paste extracts and elevated serum macadamia nut-specific immunoglobulin E (IgE) levels. Appropriately using a prick-by-prick test may contribute to accurately diagnosing macadamia nut allergy, thus preventing the unnecessary avoidance of other nuts. Considering the potential for severe shock induced by macadamia nut allergy, vigilant monitoring of blood pressure changes is imperative in children presenting with immediate-type allergic reactions, such as vomiting and skin symptoms, following macadamia nut ingestion.

Presence of 3d quadrupole moment in LaTiO3 studied by 47,49Ti NMR.

47,49Ti NMR spectra of LaTiO3 are reexamined and the orbital state of this compound is discussed. The NMR spectra of LaTiO3 taken at 1.5 K under zero external field indicate a large nuclear quadrupole splitting. This splitting is ascribed to the presence of the rather large quadrupole moment of 3d electrons at Ti sites, suggesting that the orbital liquid model proposed for LaTiO3 is inappropriate. The NMR spectra are well explained by the orbital ordering model expressed approximately as 1/square root of 3(d(xy)+d(yz)+d(zx)) originating from a crystal field effect. It is also shown that most of the orbital moment is quenched.