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[Localized rhabdomyolysis after anaphylactic shock caused by suxamethonium].

作者信息

Perret D, Mahul P, Rochette Y, Auboyer C

机构信息

Département d'anesthésie-réanimation, CHU de Saint-Etienne, hôpital Nord, Saint-Etienne, France.

出版信息

Ann Fr Anesth Reanim. 1996;15(8):1193-5. doi: 10.1016/s0750-7658(97)85877-7.

Abstract

A young woman without remarkable medical history, experienced a life threatening anaphylactoid reaction after induction of general anaesthesia for an emergency curettage. Hypersensitivity reaction involving IgE antibodies against suxamethonium was proven by positive skin test and detection of specific IgE by radio-immuno assay. After intensive therapy for 2 to 3 hours, the patient exhibited rhabdomyolysis localized on both calves. This complication, which required fasciotomies, did not result in renal failure. Local and general outcome was good. Rhabdomyolysis was due to compartmental ischaemia following shock and local external compression in the lithotomy position.

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