Kosin Medical Journal (고신대학교 의과대학 학술지)

Kosin University College of Medicine (고신대학교 의과대학)
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Anaphylaxis occurred immediately after prophylactic antibiotics injection with negative intradermal skin test during laparoscopic cholecystectomy

  • Jeong, Hyung Joo (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University) ;
  • Kung, Hsi Chiang (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University) ;
  • Park, Tae Woo (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University) ;
  • Kang, Dong Hee (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University) ;
  • Shin, Yu Som (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University) ;
  • Kim, Ju Deok (Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University)
  • Received : 2017.08.04
  • Accepted : 2017.08.28
  • Published : 2018.12.31
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Abstract

Prophylactic antibiotics that are used to prevent post-operative infection can commonly cause anaphylactic reactions during anesthesia. It is therefore necessary to perform a skin test before antibiotics are administered in order to diagnose and prevent anaphylactic reactions. However, the results of the antibiotic skin test can differ according to the drug, dose, and reagent concentration. We report a case of anaphylactic shock with bronchospasm and cardiovascular collapse immediately following administration of the prophylactic cefazedone after induction of general anesthesia for laparoscopic cholecystectomy.

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References

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