Late-onset pulmonary edema and disseminated intravascular coagulation due to latex anaphylaxis.
BACKGROUND
Anaphylaxis after the administration of tissue expanders has been reported. Late onset hypotension, thrombocytopenia, disseminated intravascular coagulation (DIC) and pulmonary edema due to the tissue expanders have not been reported.


METHODS
In this case report, late onset hypotension, thrombocytopenia, disseminated intravascular coagulation and pulmonary edema due to the administration of tissue expanders were described.


RESULTS
The authors report a 16-year-old girl with burn scar deformities scheduled for reconstruction of the scar contractures with insertion of tissue expanders in which the administration of latex tissue expanders was associated with late onset hypotension, thrombocytopenia, disseminated intravascular coagulation and pulmonary edema. Skin tests performed for latex demonstrated strong positive weal and flare reactions.


CONCLUSIONS
Late onset anaphylactic reactions due to latex tissue expanders, an unusual unpredictable adverse reaction, must be kept in mind. Early recognition and proper emergent treatment are essential to reversing this complication.
Inal
Mehmet Turan
MT
Department of Anesthesiology, Faculty of Medicine, Trakya University, 22030, Edirne, Turkey. mehmetturaninal@yahoo.com
Memis
Dilek
D
Top
Husamettin
H
Bahar
Meral
M
Celik
Erkan
E
Sikar
Emel Yurdakul
EY
Kement
Bulent
B
D000293:Adolescent; D000707:Anaphylaxis / Q000139:chemically induced*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D005260:Female; D006801:Humans; D020315:Latex Hypersensitivity / Q000150:complications* / Q000276:immunology*; D011183:Postoperative Complications; D011654:Pulmonary Edema / Q000209:etiology*; D013997:Time Factors; D015625:Tissue Expansion Devices