Johnson Bamidele O, Odenigbo Nkolika, Tcedilin Denis, Fouron Patrice, Chowduary Mahidul
Psychiatry and Behavioral Sciences, Interfaith Medical Center, New York City, USA.
Psychiatry, Interfaith Medical Center, New York City, USA.
Cureus. 2023 Jul 11;15(7):e41684. doi: 10.7759/cureus.41684. eCollection 2023 Jul.
Angioneurotic edema is a potentially life-threatening condition characterized by the rapid swelling of subcutaneous and submucosal tissues of the upper respiratory and gastrointestinal tracts. It may result in laryngeal edema, thus obstructing the airway, with a potentially fatal outcome if not diagnosed early. An allergic reaction typically causes it, but certain drugs can induce or contribute to the development of angioneurotic edema in rare cases. Haloperidol is one of the most commonly used antipsychotics to treat psychiatric disorders such as schizophrenia and, in the emergency room, acute delirium and acute psychosis. While it is generally well tolerated, in rare cases, individuals may experience a severe reaction in response to haloperidol administration. Here, we present the case of angioneurotic edema associated with intramuscular haloperidol use in a 29-year-old female patient with a history of bipolar disorder and no previous history of allergy. This case report aims to raise awareness among clinicians about this rare adverse reaction associated with haloperidol use.
血管性水肿是一种潜在的危及生命的疾病,其特征是上呼吸道和胃肠道的皮下及黏膜下组织迅速肿胀。它可能导致喉水肿,从而阻塞气道,如果不及早诊断,可能会导致致命后果。过敏反应通常会引发该病,但在极少数情况下,某些药物也可诱发或促使血管性水肿的发生。氟哌啶醇是治疗精神分裂症等精神疾病最常用的抗精神病药物之一,在急诊室中,可用于治疗急性谵妄和急性精神病。虽然它通常耐受性良好,但在极少数情况下,个体在使用氟哌啶醇后可能会出现严重反应。在此,我们报告一例29岁双相情感障碍女性患者,在无既往过敏史的情况下,因肌肉注射氟哌啶醇而发生血管性水肿的病例。本病例报告旨在提高临床医生对这种与使用氟哌啶醇相关的罕见不良反应的认识。