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Type de présentationE-poster
TitreAnaphylactic shock following cataract surgery: a documented intracameral cefuroxime allergy
ButTo report a documented life-threatening immediate hypersensitivity reaction to intracameral administration of cefuroxime after cataract surgery
MéthodesAn 81-year-old woman underwent phacoemulsification under topical anesthesia. At the end of the intervention, she developped a severe anaphylactic reaction and lost consciousness. She was immediately managed by the anesthetist and then admitted to the intensive care unit. An anaphylactic shock due to a substance received during the cataract surgery was suspected. Four months later, diagnostic skin prick-tests (SPT) were performed with all the medications used during surgery.
RésultatsTen minutes after SPT with cefuroxime, dyspnea, palmar pruritus, oedema of the lips appeared. The blood pressure fell to 80/40 mmHg. Intravascular filling, intravenous adrenalin, glucocorticoids were immediately administered and the patient's condition improved quickly. SPT were positive for cefuroxime and negative for all other molecules. The result of SPT provided convincing evidence the cefuroxime was the causal agent.
ConclusionThis case could increase the awareness that perioperative anaphylactic reactions are sometimes not predictable and can occur during surgeries under topical anaesthesia. The presence of an anesthetist is useful to manage such life threatening complications.
Conflit d'intérêtNon
Auteur 1
NomLEVECQ
InitialesL
InstitutOphthalmology department, CHU UCL Namur, Université catholique de Louvain
VilleYvoir
Auteur 2
NomSCHMIT
InitialesP
InstitutOphthalmology department, CHU UCL Namur, Université catholique de Louvain
VilleYvoir
Auteur 3
NomMAHIAT
InitialesC
InstitutPneumology department, CHU UCL Namur, Université catholique de Louvain
VilleYvoir
Auteur 4
NomROBAYE
InitialesS
InstitutAnesthesiology department, CHU UCL Namur, Université catholique de Louvain
VilleYvoir
Auteur 5
NomSOHY
InitialesC
InstitutPneumology department, CHU UCL Namur, Université catholique de Louvain
VilleYvoir
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