title: [Anaphylactic shock following administration of an infusion solution containing fructose?].
abstract: A sixty-seven year old female patient who received post-operatively an i.v. infusion of Sterofundin I, suffered an anaphylactic shock with cyanosis, dyspnoea and progressive hypotension. Over a period of 90 min there were ECG changes similar to acute posterior myocardial infarction and arrhythmias (total AV-block with high compensative rate). This could be due to circulatory shock but more probably to a transitory coronary spasm. Clinical signs and symptoms exclude a hereditary fructose intolerance because of case history and blood results as well as complications described in the literature due to low dosage of fructose. An intracutaneous test confirmed a hypersensitivity of fructose-containing i.v. infusion.
authors.affiliation: Interne Abteilung des a.ö. Bezirkskrankenhauses St. Johann in Tirol.
authors.forename: P
authors.initials: P
authors.lastname: Baumgartl
authors.forename: K
authors.initials: K
authors.lastname: Pinsker
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D005632:Fructose / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007044:Hysterectomy; D007045:Hysterectomy, Vaginal; D007262:Infusions, Intravenous; D007428:Intradermal Tests; D011183:Postoperative Complications / Q000209:etiology*
chemical_list: D005632:Fructose
vernacular_title: Anaphylaktischer Schock nach Verabreichung einer fruktosehaltigen Infusionslösung?