[Anaphylactic shock by ophthalmic wash solution containing chlorhexidine].
A 58 year-old male patient developed anaphylactic shock, possibly due to the use of chlorhexidine as ophthalmic wash solution. He was successfully resuscitated without any sequelae. The patient had increased levels of both histamine and tryptase. The skin test for allergy resulted in strong positive to chlorhexidine. There have been many reports regarding severe adverse reactions associated with use of chlorhexidine. It is necessary to pay attention to anaphylactic shock due to chlorhexidine.
Department of Anesthesiology, Kinki University School of Medicine, Osaka.
T
T
Okuda
M
M
Funasaka
M
M
Arimitsu
T
T
Umeda
K
K
Wakita
Y
Y
Koga
D000707:Anaphylaxis / Q000139:chemically induced*; D000768:Anesthesia, General; D002710:Chlorhexidine / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D012163:Retinal Detachment / Q000601:surgery
D009883:Ophthalmic Solutions; D002710:Chlorhexidine