A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy

A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy

A 43-year-old man with rheumatic arthritis was admitted to our hospital for symptoms of cough, left chest pain, and left elbow pain, and further examination revealed an elevated level of C-reactive protein. On day 2 after admission, he underwent esophagogastroduodenoscopy. On the morning of day 7, h...

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Main Authors: Naohiko Harada, Manami Hirowatari, Eikichi Ihara, Etsuko Ishihara, Mitsuko Inoue, Tomoya Miyamura, Makoto Nakamuta
Format: Article
Language:English
Published: Hoon Jai Chun 2020-11-01
Series:Clinical Endoscopy
Subjects:
allergy
asthma
disinfectant
endoscopy
peracetic acid
Online Access:http://www.e-ce.org/upload/pdf/ce-2019-129.pdf
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spelling doaj-39c1f687ac05406aa8c98af52fcea75b2021-03-09T00:42:28ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432020-11-0153674374510.5946/ce.2019.1297339A Case of Suspicious Allergic Reaction to Peracetic Acid Following EndoscopyNaohiko Harada0Manami Hirowatari1Eikichi Ihara2Etsuko Ishihara3Mitsuko Inoue4Tomoya Miyamura5Makoto Nakamuta6 Division for Endoscopy, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Division for Endoscopy, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Department of Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan Division for Endoscopy, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Division for Endoscopy, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Center for Rheumatology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Center for Gastroenterology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, JapanA 43-year-old man with rheumatic arthritis was admitted to our hospital for symptoms of cough, left chest pain, and left elbow pain, and further examination revealed an elevated level of C-reactive protein. On day 2 after admission, he underwent esophagogastroduodenoscopy. On the morning of day 7, he developed a high fever of 39.7°C, several hours after bronchoscopy. On day 13, he underwent colonoscopy. Five minutes after the colonoscopy, he developed a high fever of 39.9°C, accompanied by stridor, indicating a decrease in arterial oxygen saturation level. An intradermal test for peracetic acid which was used for cleaning flexible endoscopy was positive. We suspect that he suffered from an allergic reaction to peracetic acid following the flexible endoscopy. This is the first case reported on suspicious allergic reaction to peracetic acid following a flexible endoscopy procedure.http://www.e-ce.org/upload/pdf/ce-2019-129.pdfallergyasthmadisinfectantendoscopyperacetic acid
collection DOAJ
language English
format Article
sources DOAJ
author Naohiko Harada
Manami Hirowatari
Eikichi Ihara
Etsuko Ishihara
Mitsuko Inoue
Tomoya Miyamura
Makoto Nakamuta
spellingShingle Naohiko Harada
Manami Hirowatari
Eikichi Ihara
Etsuko Ishihara
Mitsuko Inoue
Tomoya Miyamura
Makoto Nakamuta
A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
Clinical Endoscopy
allergy
asthma
disinfectant
endoscopy
peracetic acid
author_facet Naohiko Harada
Manami Hirowatari
Eikichi Ihara
Etsuko Ishihara
Mitsuko Inoue
Tomoya Miyamura
Makoto Nakamuta
author_sort Naohiko Harada
title A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
title_short A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
title_full A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
title_fullStr A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
title_full_unstemmed A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
title_sort case of suspicious allergic reaction to peracetic acid following endoscopy
publisher Hoon Jai Chun
series Clinical Endoscopy
issn 2234-2400
2234-2443
publishDate 2020-11-01
description A 43-year-old man with rheumatic arthritis was admitted to our hospital for symptoms of cough, left chest pain, and left elbow pain, and further examination revealed an elevated level of C-reactive protein. On day 2 after admission, he underwent esophagogastroduodenoscopy. On the morning of day 7, he developed a high fever of 39.7°C, several hours after bronchoscopy. On day 13, he underwent colonoscopy. Five minutes after the colonoscopy, he developed a high fever of 39.9°C, accompanied by stridor, indicating a decrease in arterial oxygen saturation level. An intradermal test for peracetic acid which was used for cleaning flexible endoscopy was positive. We suspect that he suffered from an allergic reaction to peracetic acid following the flexible endoscopy. This is the first case reported on suspicious allergic reaction to peracetic acid following a flexible endoscopy procedure.
topic allergy
asthma
disinfectant
endoscopy
peracetic acid
url http://www.e-ce.org/upload/pdf/ce-2019-129.pdf
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