Anaphylaxis to benzalkonium chloride-coated central venous catheter |
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Authors: | Shih Chih-Kai Huang Shu-Hung Tsai Cheng-Jing Chu Koung-Shing Wu Sheng-Hua |
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Affiliation: | a Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung City 807, Taiwan;b Faculty of Medicine, College of Medicine, Graduate Institute of Medicine, Kaohsiung Medical University, Taiwan, Kaohsiung City 807, Taiwan;c Department of Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung City 807, Taiwan;d Department of Anesthesiology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City 807, Taiwan |
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Abstract: | Benzalkonium chloride (BAC) is commonly used as a bactericidal preservative and it may cause allergic reactions in some patients. An unusual case of anaphylactic shock in a 55-year-old woman following insertion of a central venous catheter (CVC) that was coated with BAC is presented. Assuming anaphylactic shock from the CVC, the catheter was removed immediately. Standard resuscitation was started with 100% oxygen, epinephrine, and saline infusion. The patient recovered without any sequelae. One month later, an intradermal skin test was positive for BAC. |
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Keywords: | Anaphylactic shock Benzalkonium chloride Central venous catheter |
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