title: Anaphylaxis to pantoprazole during general anesthesia.
abstract: The most frequent causes of anaphylaxis during anesthesia are neuromuscular blocking agents, antibiotics, and latex. Proton pump inhibitors (PPI) are widely used during major surgery for the prevention of stress ulcers, but cases of perioperative anaphylactic reactions to these have rarely been reported. We present a 50-year-old male patient who experienced an episode of anaphylaxis with hypoxemia, hypotension, tachycardia, and generalized erythema after intravenous injection of pantoprazole 40 mg and methylprednisolone 1 g during general anesthesia. After resuscitation, the patient recovered without any sequelae. Six months after the surgery, a skin test was positive to pantoprazole.
authors.affiliation: Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, #325, Section 2, Chenggung Road, Neihu 114, Taipei, Taiwan, Republic of China.
authors.forename: Hou-Chuan
authors.initials: HC
authors.lastname: Lai
authors.forename: Shih-Wei
authors.initials: SW
authors.lastname: Hsu
authors.forename: Chueng-He
authors.initials: CH
authors.lastname: Lu
authors.forename: Hsin-I
authors.initials: HI
authors.lastname: Ma
authors.forename: Chen-Hwan
authors.initials: CH
authors.lastname: Cherng
authors.forename: Nan-Kai
authors.initials: NK
authors.lastname: Hung
authors.forename: Ching-Tang
authors.initials: CT
authors.lastname: Wu
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000009:adverse effects*; D000707:Anaphylaxis / Q000139:chemically induced* / Q000209:etiology; D000768:Anesthesia, General / Q000009:adverse effects; D004342:Drug Hypersensitivity / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077402:Pantoprazole; D054328:Proton Pump Inhibitors / Q000009:adverse effects*
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D054328:Proton Pump Inhibitors; D000077402:Pantoprazole