[Diagnosis of anaphylactic shock caused by antibiotics].
A total of 277 cases with anaphylactic shock due to the use of various antibiotics were analyzed. Anaphylactic shock due to penicillin (38.2 per cent), streptomycin (19.8 per cent), combihation of streptomycin with penicillin (16.9 per cent) or bicillin (15.2 per cent) was most frequent. The causes of the diagnostic mistakes are shown and the clinical signs of the main typical form of the drug anaphylactic shock are descrifed. Four variants of atypical clinical picture of anaphylactic shock, i.e. hemodynamic (collaptoid), asphyctic, cerebral and abdominal were classified. Examples of diagnostic mistakes are presented. It was shown that the drug allergological anamnesis was not always considered in the therapeutic practice.
D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced / Q000175:diagnosis* / Q000503:physiopathology; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D003951:Diagnostic Errors; D004359:Drug Therapy, Combination / Q000009:adverse effects; D005260:Female; D006801:Humans; D010400:Penicillin G / Q000009:adverse effects; D010401:Penicillin G Benzathine / Q000009:adverse effects; D013307:Streptomycin / Q000009:adverse effects; D013997:Time Factors
D000900:Anti-Bacterial Agents; D010400:Penicillin G; D010401:Penicillin G Benzathine; D013307:Streptomycin
Diagnostoika anafilakticheskogo shoka, vyzvannogo antibiotikami.