Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지
DOI QR코드

DOI QR Code

Anaphylactic reaction after local lidocaine infiltration for retraction of retained teeth

  • Kim, Hyerim (Department of Anesthesiology and Pain Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Lee, Jung-Man (Department of Anesthesiology and Pain Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) ;
  • Kwon, Seok Min (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Row, Hyung Sang (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital)
  • Received : 2019.04.23
  • Accepted : 2019.06.23
  • Published : 2019.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Although allergic reactions are not rare complications in drug use, anaphylaxis or anaphylactoid reactions to some widely used drugs can embarrass clinicians because anaphylaxis is not easily diagnosed at the time of the event and treatment is unfamiliar to many. Lidocaine is a very popular drug in dental procedures and anaphylactoid reaction to it has been rarely reported. Clinicians who use lidocaine daily should, however, be aware of the possibility of anaphylaxis after its use. Once it occurs, anaphylaxis can be fatal, but if it is quickly diagnosed or suspected, treatment is simpler than most clinicians believe. An 86-year-old woman experienced an anaphylactic reaction 30 min after local infiltration of lidocaine for retraction of retained teeth. The dentist called an anesthesiologist for assistance. Fortunately, an anaphylactic reaction was quickly suspected and after subsequent rapid treatment with the administration of fluid and drug therapy, the patient recovered completely.

Keywords

References

  1. Simons FE, Ardusso LR, Bilo MB, El-Gamal YM, Ledford DK, Ring J, et al. World allergy organization guidelines for the assessment and management of anaphylaxis. World Allergy Organ J 2011; 4: 13-37. https://doi.org/10.1097/WOX.0b013e318211496c
  2. Wallace MS, Laitin S, Licht D, Yaksh TL. Concentrationeffect relations for intravenous lidocaine infusions in human volunteers: Effects on acute sensory thresholds and capsaicin-evoked hyperpathia. Anesthesiology 1997; 86: 1262-72. https://doi.org/10.1097/00000542-199706000-00006
  3. Naguib M, Magboul MM, Samarkandi AH, Attia M. Adverse effects and drug interactions associated with local and regional anaesthesia. Drug Saf 1998; 18: 221-50. https://doi.org/10.2165/00002018-199818040-00001
  4. Bhole MV, Manson AL, Seneviratne SL, Misbah SA. Ige-mediated allergy to local anaesthetics: Separating fact from perception: A uk perspective. Br J Anaesth 2012; 108: 903-11. https://doi.org/10.1093/bja/aes162
  5. Brown AF. Anaphylactic shock: Mechanisms and treatment. J Accid Emerg Med 1995; 12: 89-100. https://doi.org/10.1136/emj.12.2.89
  6. Lee SM, Song WJ, Yang MS, Lee SH, Kwon JW, Kim TW, et al. A case of lidocaine anaphylaxis. Korean J Asthma Allergy Clin Immunol 2006; 26: 249-53.
  7. Thyssen JP, Menne T, Elberling J, Plaschke P, Johansen JD. Hypersensitivity to local anaesthetics-update and proposal of evaluation algorithm. Contact Dermatitis 2008; 59: 69-78. https://doi.org/10.1111/j.1600-0536.2008.01366.x
  8. Simons FE. Anaphylaxis pathogenesis and treatment. Allergy 2011; 66: 31-4. https://doi.org/10.1111/j.1398-9995.2011.02629.x
  9. Simons FE, Roberts JR, Gu X, Simons KJ. Epinephrine absorption in children with a history of anaphylaxis. J Allergy Clin Immunol 1998; 101: 33-7. https://doi.org/10.1016/S0091-6749(98)70190-3
  10. Simons FE, Gu X, Simons KJ. Epinephrine absorption in adults: Intramuscular versus subcutaneous injection. J Allergy Clin Immunol 2001; 108: 871-3. https://doi.org/10.1067/mai.2001.119409
  11. Sampson HA. Anaphylaxis and emergency treatment. Pediatrics 2003; 111: 1601-8.
  12. Soar J, Pumphrey R, Cant A, Clarke S, Corbett A, Dawson P, et al. Emergency treatment of anaphylactic reactionsguidelines for healthcare providers. Resuscitation 2008; 77: 157-69. https://doi.org/10.1016/j.resuscitation.2008.02.001
  13. Stark BJ, Sullivan TJ. Biphasic and protracted anaphylaxis. J Allergy Clin Immunol 1986; 78: 76-83. https://doi.org/10.1016/0091-6749(86)90117-X
  14. Kim TH, Yoon SH, Lee SY, Choi YH, Park CM, Kang HR, et al. Biphasic and protracted anaphylaxis to iodinated contrast media. Eur Radiol 2018; 28: 1242-52. https://doi.org/10.1007/s00330-017-5052-0
  15. Mertes PM, Laxenaire MC, Alla F; Groupe d'Etudes des Reactions Anaphylactoides Peranesthesiques. Anaphylactic and anaphylactoid reactions occurring during anesthesia in france in 1999-2000. Anesthesiology 2003; 99: 536-45. https://doi.org/10.1097/00000542-200309000-00007
  16. Baluga JC, Casamayou R, Carozzi E, Lopez N, Anale R, Borges R, et al. Allergy to local anaesthetics in dentistry. Myth or reality? Allergol Immunopathol (Madr) 2002; 30: 14-9. https://doi.org/10.1016/S0301-0546(02)79081-2
  17. Berkun Y, Ben-Zvi A, Levy Y, Galili D, Shalit M. Evaluation of adverse reactions to local anesthetics: Experience with 236 patients. Ann Allergy Asthma Immunol 2003; 91: 342-5. https://doi.org/10.1016/S1081-1206(10)61680-8
  18. Amsler E, Flahault A, Mathelier-Fusade P, Aractingi S. Evaluation of re-challenge in patients with suspected lidocaine allergy. Dermatology 2004; 208: 109-11. https://doi.org/10.1159/000076482
  19. Fuzier R, Lapeyre-Mestre M, Mertes PM, Nicolas JF, Benoit Y, Didier A, et al. Immediate-and delayed-type allergic reactions to amide local anesthetics: Clinical features and skin testing. Pharmacoepidemiol Drug Saf 2009; 18: 595-601. https://doi.org/10.1002/pds.1758
  20. Lee MY, Park KA, Yeo SJ, Kim SH, Goong HJ, Jang AS, et al. Bronchospasm and anaphylactic shock following lidocaine aerosol inhalation in a patient with butane inhalation lung injury. Allergy Asthma Immunol Res 2011; 3: 280-2. https://doi.org/10.4168/aair.2011.3.4.280
  21. Sim SJ, Han JD, Ryu WS, Lee DW, La DJ, Park CW. Anaphylactic reaction after topical lidocaine anesthesia during bronchoscopy. J Asthma Allergy Clin Immunol 1999; 19: 219-23.
  22. Kwon YS, Kwon YI, An DA, Kim IH. A case report of asthmatic breathing with lidocaine. Korean J Anesthesiol 1981; 14: 492-4. https://doi.org/10.4097/kjae.1981.14.4.492
  23. Mackley CL, Marks JG, Jr, Anderson BE. Delayed-type hypersensitivity to lidocaine. Arch Dermatol 2003; 139: 343-6. https://doi.org/10.1001/archderm.139.3.343
  24. Ismail K, Simpson PJ. Anaphylactic shock following intravenous administration of lignocaine. Acta Anaesthesiol Scand 1997; 41: 1071-2. https://doi.org/10.1111/j.1399-6576.1997.tb04838.x

Cited by

  1. Management of patients with allergy to local anesthetics: two case reports vol.21, pp.6, 2021, https://doi.org/10.17245/jdapm.2021.21.6.583