Anaphylaxis: lesson learned from five cases.
Anaphylaxis is a severe hypersensitivity reaction. Its clinical manifestations vary, affecting several organs at once. Skin symptom is the most frequent manifestation; however, diagnosis of anaphylaxis will only be established when involving one or both vital organs, which are cardiovascular and respiratory system. Other symptom, such as that involving central nervous system or gastrointestinal tract, may accompany. We present five cases of anaphylaxis which vary in onset of symptoms, allergen, degree of severity, therapeutic response and clinical manifestation. Anaphylactic reaction to drugs in these cases is mainly manifested as anaphylactic shock and reaction to food allergen causing obstruction of respiratory tract. Four anaphylactic events occurred at home and only one occurred in a hospital, thus education on anaphylaxis to general community is very important, especially for the patients and their families. Prompt medical assistance in patients with anaphylactic symptoms determines their therapeutic response. Skin test prior to administration of cephalosporin does not give negative predictive value toward anaphylactic event.
Department of Internal Medicine, Faculty of Medicine University of Indonesia-dr.Cipto Mangunkusumo Hospital, Jalan Diponegoro no. 71, Jakarta.
Heru
H
Sundaru
Sukamto
S
Koesnoe
Jeffry Beta
JB
Tenggara
Ketut
K
Suryana
D000293:Adolescent; D000328:Adult; D000368:Aged; D001993:Bronchodilator Agents / Q000627:therapeutic use; D004342:Drug Hypersensitivity / Q000188:drug therapy*; D064420:Drug-Related Side Effects and Adverse Reactions; D004837:Epinephrine / Q000627:therapeutic use; D017809:Fatal Outcome; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D008297:Male; D055553:Prescription Drugs / Q000009:adverse effects*; D012307:Risk Factors; D055815:Young Adult
D001993:Bronchodilator Agents; D006634:Histamine H1 Antagonists; D006635:Histamine H2 Antagonists; D055553:Prescription Drugs; D004837:Epinephrine