Lidocaine as a Rare and Hidden Allergen in the Perioperative Setting: A Case Report
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Lidocaine as a Rare and Hidden Allergen in the Perioperative Setting : A Case Report. / Kvisselgaard, Ask D; Melchiors, Birgitte B; Krøigaard, Mogens; Garvey, Lene H.
I: A&A practice, Bind 12, Nr. 11, 15.06.2019, s. 430-432.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Lidocaine as a Rare and Hidden Allergen in the Perioperative Setting
T2 - A Case Report
AU - Kvisselgaard, Ask D
AU - Melchiors, Birgitte B
AU - Krøigaard, Mogens
AU - Garvey, Lene H
PY - 2019/6/15
Y1 - 2019/6/15
N2 - Local anesthetics are used throughout the health care system. In the perioperative setting and in other settings of exposure to local anesthetics, true allergy is reported very rarely. We present an unusual case of immediate-type perioperative hypersensitivity to lidocaine with cross-reaction to mepivacaine, which was missed on initial investigation. This case illustrates that lidocaine may be a "hidden allergen" in the perioperative setting and should always be considered a potential culprit in cases of suspected perioperative hypersensitivity. The case also demonstrates that suspected perioperative hypersensitivity requires highly specialized investigation and close collaboration between allergists and anesthesiologists.
AB - Local anesthetics are used throughout the health care system. In the perioperative setting and in other settings of exposure to local anesthetics, true allergy is reported very rarely. We present an unusual case of immediate-type perioperative hypersensitivity to lidocaine with cross-reaction to mepivacaine, which was missed on initial investigation. This case illustrates that lidocaine may be a "hidden allergen" in the perioperative setting and should always be considered a potential culprit in cases of suspected perioperative hypersensitivity. The case also demonstrates that suspected perioperative hypersensitivity requires highly specialized investigation and close collaboration between allergists and anesthesiologists.
KW - Allergens/adverse effects
KW - Drug Hypersensitivity/diagnosis
KW - Drug Interactions
KW - Female
KW - Humans
KW - Lidocaine/adverse effects
KW - Mepivacaine/adverse effects
KW - Middle Aged
KW - Perioperative Period
U2 - 10.1213/XAA.0000000000000955
DO - 10.1213/XAA.0000000000000955
M3 - Journal article
C2 - 30633002
VL - 12
SP - 430
EP - 432
JO - A&A practice
JF - A&A practice
SN - 2325-7237
IS - 11
ER -
ID: 234448132