Latex anaphylaxis during tissue expander insertion in a healthy child

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
M M Zestos, R Creighton

Abstract

To report intraoperative latex anaphylaxis that occurred in an otherwise healthy child. Although latex anaphylaxis is seen in patients with myelodysplasia, genitourinary anomalies, sensitised healthcare workers, and patients with frequent exposure to latex, it has not been described in otherwise healthy children. A nine-year-old girl developed intraoperative latex anaphylaxis manifested by increased airway pressure, expiratory wheezing, a decrease in oxygen saturation, severe hypotension and urticaria. The patient was treated with 5 micrograms.kg-1 epinephrine i.v. and 5 mg.kg-1 hydrocortisone i.v. She required an epinephrine infusion of 0.4 microgram.kg-1.min-1 and prolonged ICU admission. Her only previous latex exposure was during plastic surgical procedures. Latex allergy was confirmed weeks later using the prick method allergy testing. Latex anaphylaxis can occur in otherwise healthy children whose only latex exposure occurred during a previous operation, including plastic surgery.

References

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Citations

Sep 22, 2009·Aesthetic Plastic Surgery·Mehmet Turan InalBulent Kement
Mar 19, 2002·Pediatrics International : Official Journal of the Japan Pediatric Society·Nihat SapanHalil Saglam
Feb 16, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·P Dewachter, C Mouton-Faivre

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Anaphylaxis

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.