Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report-
Background In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. Case We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing orthopedic hand surgery, manifesting as profound hypotens...
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Korean Society of Anesthesiologists
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doaj-b12cd012c25e48088003d8902111b1ed2020-11-25T03:43:53ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632020-08-0173434234610.4097/kja.193448588Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report-Shu Chung Choi0Sangbin Han1Jueun Kwak2Ji Yung Lee Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaBackground In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. Case We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing orthopedic hand surgery, manifesting as profound hypotension and urticaria. The timing of onset was closely associated with sugammadex administration. The patient recovered after extensive therapy including fluid, epinephrine, other vasopressors, steroid, and antihistamine administration. By intradermal skin test which was done at four weeks after anaphylaxis, we confirmed positive reactions to both sugammadex and sugammadex-rocuronium complex. Conclusions This is a rare case of sugammadex-induced anaphylaxis that both sugammadex and sugammadex-rocuronium complex were confirmed as allergenic epitopes.http://ekja.org/upload/pdf/kja-19344.pdfanaphylaxisgeneral anesthesiahypotensionrocuroniumskin testsugammadexurticaria |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shu Chung Choi Sangbin Han Jueun Kwak Ji Yung Lee |
spellingShingle |
Shu Chung Choi Sangbin Han Jueun Kwak Ji Yung Lee Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- Korean Journal of Anesthesiology anaphylaxis general anesthesia hypotension rocuronium skin test sugammadex urticaria |
author_facet |
Shu Chung Choi Sangbin Han Jueun Kwak Ji Yung Lee |
author_sort |
Shu Chung Choi |
title |
Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
title_short |
Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
title_full |
Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
title_fullStr |
Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
title_full_unstemmed |
Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
title_sort |
anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report- |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2020-08-01 |
description |
Background In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. Case We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing orthopedic hand surgery, manifesting as profound hypotension and urticaria. The timing of onset was closely associated with sugammadex administration. The patient recovered after extensive therapy including fluid, epinephrine, other vasopressors, steroid, and antihistamine administration. By intradermal skin test which was done at four weeks after anaphylaxis, we confirmed positive reactions to both sugammadex and sugammadex-rocuronium complex. Conclusions This is a rare case of sugammadex-induced anaphylaxis that both sugammadex and sugammadex-rocuronium complex were confirmed as allergenic epitopes. |
topic |
anaphylaxis general anesthesia hypotension rocuronium skin test sugammadex urticaria |
url |
http://ekja.org/upload/pdf/kja-19344.pdf |
work_keys_str_mv |
AT shuchungchoi anaphylaxisinducedbysugammadexandsugammadexrocuroniumcomplexacasereport AT sangbinhan anaphylaxisinducedbysugammadexandsugammadexrocuroniumcomplexacasereport AT jueunkwak anaphylaxisinducedbysugammadexandsugammadexrocuroniumcomplexacasereport AT jiyunglee anaphylaxisinducedbysugammadexandsugammadexrocuroniumcomplexacasereport |
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