사례보고: 수술예방적 항생제 Cefotetan에 의한 아나필락시스 보고 및 World Allergy Organization 가이드라인활용
Anaphylaxis Induced by Surgical Prophylactic Cefotetan and The Application of World Allergy Organization Guide: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The definition of anaphylaxis is 'a serious, life-threatening generalized or systemic hypersensitivity reaction' and is considered as the life threatening adverse drug reaction. We experienced a case of cefotetan induced anaphylaxis with negative pre-skin test, used for surgical prophylaxis. A 82-year-old female was scheduled for total knee replacement therapy. She had no previous history of allergy and her skin test results were also negative. On her right knee surgery,she underwent cefotetan therapy as a surgical prophylaxis for a week with no problems identified. Next left knee surgery,she also received the prophylaxis of intravenous cefotetan. However, a few minutes later, anaphylactic reaction developed with vomiting, severe hypotension, bronchospasm, and dyspnea. After immediate intensive care treatment,she recovered without significant complications. Though commonly used laboratory data in case reports, such as the specific IgE, tryptase, histamine, or allergic skin prick test were limited, we successfully confirmed anaphylaxis based on clinical criteria for diagnosing anaphylaxis based on WAO 2011 guideline with through concurrent patient°Øs medical history review and the process of identifying the causes.
Abstract
The definition of anaphylaxis is 'a serious, life-threatening generalized or systemic hypersensitivity reaction' and is considered as the life threatening adverse drug reaction. We experienced a case of cefotetan induced anaphylaxis with negative pre-skin test, used for surgical prophylaxis. A 82-year-old female was scheduled for total knee replacement therapy. She had no previous history of allergy and her skin test results were also negative. On her right knee surgery,she underwent cefotetan therapy as a surgical prophylaxis for a week with no problems identified. Next left knee surgery,she also received the prophylaxis of intravenous cefotetan. However, a few minutes later, anaphylactic reaction developed with vomiting, severe hypotension, bronchospasm, and dyspnea. After immediate intensive care treatment,she recovered without significant complications. Though commonly used laboratory data in case reports, such as the specific IgE, tryptase, histamine, or allergic skin prick test were limited, we successfully confirmed anaphylaxis based on clinical criteria for diagnosing anaphylaxis based on WAO 2011 guideline with through concurrent patient°Øs medical history review and the process of identifying the causes.
참고문헌 (32)
- World Health Organization, "Safety of Medicines : A guide to detecting and reporting adverse drug reactions" (2002), WHO, EDM, QSM
- Uppsala Monitoring Centre, "Safety Monitoring of Medicinal Products Guidelines for setting up and running a Pharmacovigilance Centre. London", ~ (2000)
- Lazarou J, "Incidence of ADR in hospitalized patients : a meta-analysis of prospective studies", J Am Med Assoc, 279, pp.1000~1005 (1998)
- 황수희, "약물부작용 감시정보시스템의 도입과 평가: pilot study", 병원약사회지, 22(3), pp.1~19 (2005), 한국병원약사회
- 김은영, "실시간 약물이상반응 감시체계 구축 및 평가", 병원약사회지, 23(3), pp.1~13 (2006), 한국병원약사회
- 김은영, "Adverse Drug Event Surveillance System using electronic data and the Signals", 한국임상약학회지, 21(4), pp.383~389 (2011), 한국임상약학회
- Lin RY, "A perspective on penicillin allergy", Arch Intern Med, 152, pp.930~937 (1992)
- Kelkar PS, "Cephalosporin allergy", N Engl J Med, 345, pp.930~937 (2001)
- Romano A, "Cross reactivity and tolerability of cephalosporins in patients with immediate hypersensitivity to penicillins", Ann Intern Med, 141, pp.16~22 (2004)
- Antunez C, "Immediate reactivity with a panel of penicillins and cephalosporins", J Allergy Clin Immunol, 117, pp.404~410 (2006)
- Naranjo CA, "A method for estimating the probabiliting of adverse drug reactions", Clin Pharmacol Ther, 30, pp.239~245 (1981)
- 홍경섭, "약물이상반응의 인과성 평가를 위한 한국형 알고리즘의 개발", 임상약리학회지, 10(2), pp.129~142 (2002), 대한임상약리학회
- Schumock GT, "Focusing on the preventability of adverse drug reactions", Hosp Pharm, 27, pp.538~539 (1992)
- Madaan A, "Cephalosporin allergy", Immunol Allergy Clin North Am, 24, pp.463~476 (2004)
- Simons EF, "World Allergy Organization anaphylaxis guidelines", J Allergy Clin Immunol, 127, pp.587~593 (2011)
- 김백남, "IgE매개 세팔로스포린 과민반응", Infection and Chemotherapy, 42(3), pp.137~142 (2010), 대한감염학회
- Luskin AT, "Anaphylaxis and anaphylactoid reactions:disgnosis and management", Am J Ther, 3, pp.515~520 (1996)
- Kim KM, "Arterial hypotension during anesthesia, In Anesthesiology and Pain medicine", pp.291~299 (2003), Ryomoongak
- Roizen MF, "Anesthetic implications of concurrent diseases, In Miller's Anesthesia. 6th ed", pp.1092~1093 (2004), Elsevier Publishing Inc
- Fisher M, "Anaphylaxis during anaesthesia: current aspects of diagnosis and prevention", Eur J Anaesthesiol, 11, pp.263~284 (1994)
- Demirkan K, "Anaphylactic reaction to drugs commonly used for gastrointestinal system diseases:3 case reports and review of the literature", J Investig Allergol Clin Immunol, 16, pp.203~209 (2006)
- Rethnam U, "Anaphylactic reaction associated with Ranitidine in a patient with acute pancreatitis: a case report", J Med Case Reports, 1, pp.75~76 (2007)
- Thurot-Guillou C, "Anaphylactic reaction to ranitidine and dexchlorpheniramine", Eur J Dermatol, 17, pp.170~171 (2007)
- Bloomberg RJ, "Cefotetan-induced anaphylaxis", Am J Obstet Gynecol, 159, pp.125~126 (1988)
- 임태하, "척추마취 중 발생한 Cefotetan에 의한 아나필락시성반응", Korean Journal of Anesthesiology, 49(6), pp.861~863 (2005), 대한마취과학회
- Greenberger PA, "Drug allergy", J Allergy Clin Immunol, 117, pp.S464~S470 (2006)
- Perez IE, "Cephalosporin chemical reactivity and its immunological implications", Curr Opin Allergy Clin Immunol, 5, pp.323~330 (2005)
- Antunez C, "Immediate allergic reactions to cephalosporins: evaluation of crossreactivity with a panel of penicillins and cephalosporins", J Allergy Clin Immunol, 117, pp.404~410 (2006)
- Romano A, "Diagnosing immediate reactions to cephalosporins", Clin Exp Allergy, 35, pp.1234~1242 (2005)
- 최정희, "Cefaclor에 의한 아나필락시스 환자에서 cefaclor 특이 IgE 항체 측정", 천식 및 알레르기, 23(2), pp.414~419 (2003), 대한천식알레르기학회
- Lee GY, "Diagnosis and Management of allergic disease", pp.231~543 (1992), Hanguk Medical Publisher
- Weiss ME, "Recognizing drug allergy. How to differentiate true allergy from other adverse drug reactions", Postgrad Med, 117, pp.32~39 (2005)