Anaphylaxis after disinfection with 2% chlorhexidine wand applicator

Sameer Bahal, Samriti Sharma, Lene Heise Garvey, Vasantha Nagendran

18 Citationer (Scopus)

Abstract

A 54-year-old man with end-stage renal failure attended for dialysis. Within seconds of applying 2% w/v chlorhexidine (ChloraPrep 3 mL Wand Applicator) to the skin surrounding the insertion point of his dialysis catheter (Tesio catheter), he developed pruritus, urticaria, shortness of breath, hypotension and reduced responsiveness. Treatment for anaphylaxis was initiated with rapid improvement of his symptoms, and he made a full recovery. Allergy to chlorhexidine was confirmed with skin testing, and the patient was warned against all future exposure to chlorhexidine. Subsequent dialysis without chlorhexidine was uneventful.

OriginalsprogEngelsk
TidsskriftBMJ Case Reports
Vol/bind2017
ISSN1757-790X
DOI
StatusUdgivet - 8 aug. 2017

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