title: Suspected anaphylactic reaction associated with sugammadex: a case report.
abstract: We describe a case of a 35-year-old male patient who was scheduled for laparoscopic cholecystectomy and developed a life-threatening anaphylactic reaction 2 min after the administration of sugammadex. He manifested erythematous wheals on the entire body, dyspnea, hypotension, and tachycardia. These symptoms disappeared after the administration of epinephrine. The patient recovered and was discharged at postoperative day 5 without any complications. After 7 weeks, we performed a skin prick test, and there was a weakly positive reaction for sugammadex. This case is suspected anaphylaxis associated with sugammadex, and we need to be aware that the use of sugammadex is associated with a serious risk of anaphylaxis.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Jae Hwa
authors.initials: JH
authors.lastname: Yoo
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Soon Im
authors.initials: SI
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Si Young
authors.initials: SY
authors.lastname: Ok
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Park
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Ana
authors.initials: A
authors.lastname: Cho
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Yoo Mi
authors.initials: YM
authors.lastname: Han
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Mi Roung
authors.initials: MR
authors.lastname: Jun
keywords: Anaphylaxis; Sugammadex