Anaphylaxis to benzalkonium chloride-coated central venous catheter.
Benzalkonium chloride (BAC) is commonly used as a bactericidal preservative and it may cause allergic reactions in some patients. An unusual case of anaphylactic shock in a 55-year-old woman following insertion of a central venous catheter (CVC) that was coated with BAC is presented. Assuming anaphylactic shock from the CVC, the catheter was removed immediately. Standard resuscitation was started with 100% oxygen, epinephrine, and saline infusion. The patient recovered without any sequelae. One month later, an intradermal skin test was positive for BAC.
Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung City 807, Taiwan.
Chih-Kai
CK
Shih
Shu-Hung
SH
Huang
Cheng-Jing
CJ
Tsai
Koung-Shing
KS
Chu
Sheng-Hua
SH
Wu
D000707:Anaphylaxis / Q000139:chemically induced*; D000891:Anti-Infective Agents, Local / Q000009:adverse effects*; D001548:Benzalkonium Compounds / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D057785:Catheters; D004342:Drug Hypersensitivity / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged
D000891:Anti-Infective Agents, Local; D001548:Benzalkonium Compounds