Assuntos
Cardiomiopatias/patologia , Morte Súbita Cardíaca/etiologia , Cardiopatias Congênitas/diagnóstico , Ventrículos do Coração/anormalidades , Miocárdio/patologia , Adulto , Morte Súbita Cardíaca/patologia , Evolução Fatal , Cardiopatias Congênitas/patologia , Ventrículos do Coração/patologia , Humanos , MasculinoRESUMO
The case of a 42-year-old latex-sensitive female who experienced urticaria, pruritus, soft tissue swelling, and significant hypotension during an outpatient barium enema is described. These signs and symptoms of anaphylaxis occurred immediately after enema tip insertion and before infusion of contrast material. The patient responded well to appropriate emergency therapy and her symptoms resolved in a 24-hour period. Subsequent radioallergosorbent test showed an elevated immunoglobulin E (IgE) level to latex, and the skin prick test produced significant induration and erythema in response to latex. This patient experienced an IgE-mediated anaphylactic reaction to the latex enema tip. Emergency physicians need to be aware of the spectrum of latex-induced allergic reactions.
Assuntos
Anafilaxia/induzido quimicamente , Enema/instrumentação , Imunoglobulina E/sangue , Borracha/efeitos adversos , Adulto , Anafilaxia/sangue , Anafilaxia/diagnóstico , Anafilaxia/terapia , Sulfato de Bário , Emergências , Feminino , Humanos , Teste de Radioalergoadsorção , Testes CutâneosRESUMO
Acute encephalitis is an unusual manifestation of cat-scratch disease. The authors present the case of a 27-year-old man who exhibited the acute onset of encephalitis manifested by violent behavior and confusion. The diagnosis of drug abuse was presumed initially, but a careful examination revealed the true cause to be cat-scratch disease. Emergency physicians are frequently faced with the challenging task of evaluating confused and combative patients. This case demonstrates the importance of a complete physical examination and a thorough laboratory evaluation.
