Clinical Case Database / Category: Patient Management

Anaphylaxis: two cases and discussion

Publication details

Dr Bernadette Nzekwu (MBBS, BSc), Dr Samantha James (MBBS), Dr Raj Byreddy (MBBS, FCARCSI)
Foundation Years Journal, volume 9, issue 9, p.6 (123Doc Education, London, October 2015)

Abstract

Anaphylaxis is an acute and potentially life threatening condition with
systemic reactions. It is a medical emergency that foundation doctors are
likely to deal with. Prompt recognition and management is critical. We
describe two case reports of patients that developed anaphylaxis with
different presentations and progression. The first case demonstrates a patient
who developed anaphylaxis under general anaesthesia and the second
describes a case of food-triggered anaphylaxis.

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Authors

Dr Bernadette Nzekwu (MBBS, BSc)

Anaesthetics ST3
Basildon and Thurrock University Hospitals NHS Foundation Trust
Basildon Hospital
Basildon, Essex, SS16 5NL
bernadette.nzekwu@doctors.org.uk

Dr Samantha James (MBBS)

Anaesthetics CT2
Basildon and Thurrock University Hospitals NHS Foundation Trust
Basildon Hospital
Basildon, Essex, SS16 5NL
samy_james@hotmail.com

Dr Raj Byreddy (MBBS, FCARCSI) (Corresponding author)

Consultant Anaesthetist
Basildon and Thurrock University Hospitals NHS Foundation Trust
Basildon Hospital
Basildon, Essex, SS16 5NL
brr752003@yahoo.co.uk

References

1. Lieberman P, Camargo CA, Jr., Bohlke K, Jick H, Miller RL, Sheikh A, et al. Epidemiology of anaphylaxis:
findings of the American College of Allergy, Asthma and Immunology Epidemiology of Anaphylaxis
Working Group. Annals of Allergy, Asthma and Immunology. 2006; 97(5):596-602.
2. Association of Anaesthetists of Great Britain and Ireland. Suspected anaphylactic reactions
associated with anaesthesia. Anaesthesia 2009; 64: pages 199-211.
3. Fisher MM, Baldo BA. The incidence and clinical features of anaphylactic reactions during anesthesia
in Australia. Annals Francaises d'Anesthesie et de Reanimation 1993; 12: 97–104.
4. Simons FER. Anaphylaxis. Journal of Allergy and Clinical Immunology 2010; 125 (Suppl. 2):S161–S181.
5. Lieberman P, Nicklas RA, Oppenheimer J, Kemp SF, Lang DM, Bernstein DI, et al. The diagnosis
and management of anaphylaxis practice parameter: 2010 update. Journal of Allergy and Clinical
Immunology. 2010; 126:477–80.e1-42.
6. Resuscitation Council UK. Emergency treatment of anaphylactic reactions. Guidelines for healthcare
providers. January 2008.
7. NICE Clinical Guideline. [CG134] Anaphylaxis: assessment to confirm an anaphylactic episode and
the decision to refer after emergency treatment for a suspected anaphylactic episode. National Institute
for Health and Clinical Excellence. December 2011.

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Conflict Of Interest

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