Coronary artery spasm complicating anaphylaxis secondary to skin disinfectant.
We report a patient in whom presumed vasospasm of an angiographically normal coronary artery led to severe transmural myocardial ischemia. To our knowledge, this is the first case in which an allergic reaction to locally applied chlorhexidine caused such a severe reaction.
Conraads
V M
VM
Department of Cardiology, University Hospital of Antwerp, Edegem, Belgium.
Jorens
P G
PG
Ebo
D G
DG
Claeys
M J
MJ
Bosmans
J M
JM
Vrints
C J
CJ
D000230:Adenocarcinoma / Q000601:surgery; D000287:Administration, Topical; D000707:Anaphylaxis / Q000139:chemically induced* / Q000150:complications*; D002710:Chlorhexidine / Q000008:administration & dosage / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000209:etiology*; D004202:Disinfectants / Q000008:administration & dosage / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged
D004202:Disinfectants; D002710:Chlorhexidine