Shortness of breath and abdominal pain within minutes of starting hemodialysis.
A 45-year-old woman on hemodialysis without significant problems for 6 years developed acute onset of anxiety, shortness of breath, and abdominal pain within minutes of initiating her hemodialysis treatment. Her blood pressure was stable throughout the episode. The treatment was discontinued and she was admitted to the hospital. Routine blood chemistries were unremarkable except for mild eosinophilia (5%). An ethylene oxide reaction was suspected. She was dialyzed the following day after rinsing the dialyzer with 2 L of saline. A similar reaction occurred. The following day she was dialyzed on an ethylene oxide-free dialyzer and the hemodialysis treatment was uneventful.
Department of Medicine, North Shore University Hospital, Manhasset, New York 11030, USA. Bellucci@nshs.edu
Allessandro
A
Bellucci
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D015314:Dialysis Solutions / Q000009:adverse effects* / Q000737:chemistry; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000209:etiology* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome
D015314:Dialysis Solutions