Anaphylaxis Caused by Benzalkonium in a Nebulizer Solution
Journal of Korean Medical Science
; : 289-290, 2004.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-67691
Biblioteca responsável:
WPRO
ABSTRACT
Benzalkonium chloride (BAC) is commonly used as a bactericidal preservative in nebulizer solutions, and can cause paradoxical onchoconstriction following nebulizing therapy in some asthmatics. We describe a case of anaphylactic shock in a 23-yr-old asthmatic woman following an intradermal skin test with a salbutamol solution containing BAC. Since she complained of cough and dyspnea after inhalation therapy with a nebulizer solution, we conducted an intradermal skin test using the same solution, which contained BAC. About 10 min later, the patient reported dizziness, palpitations, and dyspnea. On examination, tachycardia, tachypnea, and hypotension were found. She was resuscitated with a subcutaneous injection of epinephrine and an infusion of saline. One month later, we conducted a bronchial provocation test with BAC, and she showed a positive response.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Asma
/
Compostos de Benzalcônio
/
Nebulizadores e Vaporizadores
/
Antiasmáticos
/
Anafilaxia
/
Anti-Infecciosos Locais
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2004
Tipo de documento:
Artigo