title: [Anaphylactic shock to iodinated povidone].
abstract: Anaphylaxis during anaesthesia is a rare event which is mainly related to neuromuscular blocking agents. Latex and antibiotics are less frequently incriminated. However, allergy may be triggered by other less frequent and hidden allergen. Among these, povidone is largely used in numerous therapeutics and cosmetics. We report here an exceptional case of grade 3 anaphylactic shock with iodinated povidone administered via a rectal route.
authors.affiliation: Département d'anesthésie-réanimation, CHU Dupuytren, 2 avenue Martin-Luther-King, Limoges cedex, France. letamamoir@hotmail.fr
authors.forename: C
authors.initials: C
authors.lastname: Palobart
authors.forename: J
authors.initials: J
authors.lastname: Cros
authors.forename: I
authors.initials: I
authors.lastname: Orsel
authors.forename: N
authors.initials: N
authors.lastname: Nathan
mesh_terms: D000285:Administration, Rectal; D000707:Anaphylaxis / Q000139:chemically induced* / Q000188:drug therapy / Q000628:therapy; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000009:adverse effects*; D003082:Colectomy; D003108:Colonic Diseases / Q000150:complications / Q000601:surgery; D003131:Combined Modality Therapy; D000077324:Crystalloid Solutions; D003951:Diagnostic Errors; D004342:Drug Hypersensitivity / Q000175:diagnosis*; D004837:Epinephrine / Q000627:therapeutic use; D005512:Food Hypersensitivity / Q000175:diagnosis; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery; D007552:Isotonic Solutions / Q000627:therapeutic use; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D011206:Povidone-Iodine / Q000008:administration & dosage / Q000009:adverse effects*; D011229:Preanesthetic Medication; D012772:Shock, Septic / Q000209:etiology; D014899:Wernicke Encephalopathy / Q000150:complications
chemical_list: D000891:Anti-Infective Agents, Local; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D011206:Povidone-Iodine; D008775:Methylprednisolone; D004837:Epinephrine