title: Anaphylaxis after intramuscular injection of diclofenac sodium.
abstract: Diclofenac sodium is a 2-arylacetic acid, nonsteroidal anti-inflammatory drug. It is widely used in pain management. Side effects such as urticaria, asthmatic attack, vasospastic angina, ischemic stroke, and Kounis syndrome may be seen after the use of diclofenac sodium. However, anaphylactic shock is rare. Anaphylactic shock secondary to injection of diclofenac sodium can be treated successfully with intramuscular injection of adrenaline. Because diclofenac sodium is commonly used in analgesic treatment in emergency departments, we present this case report to emphasize that anaphylactic shock may be seen after the use of that drug.
authors.affiliation: Haydarpasa Numune Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey.
authors.forename: Sahin
authors.initials: S
authors.lastname: Colak
authors.affiliation: Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey.
authors.forename: Harun
authors.initials: H
authors.lastname: Gunes
authors.affiliation: Haydarpasa Numune Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey.
authors.forename: Mustafa Ahmet
authors.initials: MA
authors.lastname: Afacan
authors.affiliation: Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey.
authors.forename: Hayati
authors.initials: H
authors.lastname: Kandis
authors.affiliation: Haydarpasa Numune Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey.
authors.forename: Mehmet Ozgur
authors.initials: MO
authors.lastname: Erdogan
authors.affiliation: Department of Emergency Medicine, Medeniyet University, School of Medicine, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ayranci
authors.affiliation: Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey. Electronic address: a_saritas_@hotmail.com.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Saritas
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000139:chemically induced*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D004008:Diclofenac / Q000009:adverse effects*; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac