Kow R Y, Low C L, Ruben J K, Zaharul-Azri M Z, Ng M S
Department of Orthopaedics, Kuala Lipis Hospital, Kuala Lipis, Malaysia.
Malays Orthop J. 2017 Jul;11(2):72-74. doi: 10.5704/MOJ.1707.008.
Chlorhexidine is a common antiseptic and disinfectant used in the medical field. Allergy to chlorhexidine has been reported in the literature but life-threatening anaphylactic shock is rare. We present a case of severe anaphylactic shock due to chlorhexidine occurring during surgery. Literatures suggest that profound anaphylactic shock to chlorhexidine is commonly preceded by milder, non-specific reactions. These mild symptoms are often dismissed by both the patient and physicians alike. Direct questioning of these symptoms is necessary as a part of the pre-operative assessment and the patient should be referred for further immunology testing if indicated.
洗必泰是医学领域常用的一种防腐剂和消毒剂。文献中曾报道过对洗必泰过敏的情况，但危及生命的过敏性休克较为罕见。我们报告一例手术期间发生的因洗必泰导致的严重过敏性休克病例。文献表明，洗必泰引起的严重过敏性休克通常之前会有较轻的非特异性反应。这些轻微症状往往被患者和医生忽视。作为术前评估的一部分，直接询问这些症状很有必要，如果有指征，应将患者转诊进行进一步的免疫学检测。
