Anaphylaxis induced by haemocoagulase agkistrodon for injection: report of 2 cases
Yang Shi, Baolin Hou, Yonghong Cao, Dengfeng Fan, Hongxia Zhang, Xiaoli Chen
Abstract
Yang Shi, Baolin Hou, Yonghong Cao, Dengfeng Fan, Hongxia Zhang, Xiaoli Chen
Abstract
Two patients (patient 1, a 54-year-old male; patient 2, a 39-year-old female) received intravenous injection of haemocoagulase agkistrodon for injection (2 U, once daily) to reduce bleeding after percutaneous holmium laser lithotripsy and hysteroscopic diagnostic curettage, respectively. Patient 1 developed urticaria on the third day of treatment. Haemocoagulase agkistrodon was stopped and cured after anti allergy treatment. Patient 2 developed palpitation, dyspnea, nausea, tremor of limbs, and etc. after about 5 minutes of medication. Her body temperature was 36.6 ℃, heart rate was 88 beats/min, breath rate was 23 times/min, blood pressure was 117/63 mmHg, and erythema appeared on her limbs and chest skin. Haemo-coagulase agkistrodon was stopped and antiallergic treatments and oxygen inhalation were given. Her symptoms disappeared about 30 minutes later and the rash disappeared 1 week later. The allergic reactions in the 2 patients were considered to be caused by haemocoagulase agkistrodon. Key words: Batroxobin; Urticaria; Anaphylaxis
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Two patients (patient 1, a 54-year-old male; patient 2, a 39-year-old female) received intravenous injection of haemocoagulase agkistrodon for injection (2 U, once daily) to reduce bleeding after percutaneous holmium laser lithotripsy and hysteroscopic diagnostic curettage, respectively. Patient 1 developed urticaria on the third day of treatment. Haemocoagulase agkistrodon was stopped and cured after anti allergy treatment. Patient 2 developed palpitation, dyspnea, nausea, tremor of limbs, and etc. after about 5 minutes of medication. Her body temperature was 36.6 ℃, heart rate was 88 beats/min, breath rate was 23 times/min, blood pressure was 117/63 mmHg, and erythema appeared on her limbs and chest skin. Haemo-coagulase agkistrodon was stopped and antiallergic treatments and oxygen inhalation were given. Her symptoms disappeared about 30 minutes later and the rash disappeared 1 week later. The allergic reactions in the 2 patients were considered to be caused by haemocoagulase agkistrodon. Key words: Batroxobin; Urticaria; Anaphylaxis
Key concepts: Medicine, Anesthesia, Anaphylaxis, Surgery, Rash, Erythema, Allergy, Immunology