过敏反应患者发生中风——一例报告及简要综述。
Stroke in a patient of anaphylaxis-a case report and brief review.
作者信息
Shankar Takshak, Vempalli Nagasubramanyam, Asokan Reshma, Pillai Aadya, Infimate D J Lalneiruol
机构信息
Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, India.
Department of Emergency Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
出版信息
Int J Emerg Med. 2023 Oct 17;16(1):74. doi: 10.1186/s12245-023-00548-3.
BACKGROUND
The use of nonionic low-osmolar contrast media has significantly reduced the risk of hypersensitivity reactions. Despite this, severe reactions continue to occur unpredictably. An ischemic stroke in the setting of anaphylaxis is extremely rare.
CASE REPORT
A 64-year-old male with no prior allergies went into anaphylactic shock following the administration of iohexol which improved after treatment. He later developed a multi-territorial ischemic stroke.
CONCLUSION
An ischemic stroke in the setting of an anaphylaxis is a rare occurrence, which can be attributed to multiple factors in our patient.
背景
使用非离子型低渗造影剂已显著降低了过敏反应的风险。尽管如此，严重反应仍会不可预测地发生。过敏反应情况下发生缺血性中风极为罕见。
病例报告
一名64岁无既往过敏史的男性在注射碘海醇后发生过敏性休克，经治疗后有所改善。他后来发生了多区域缺血性中风。
结论
过敏反应情况下发生缺血性中风是罕见的，这可归因于我们患者的多种因素。
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