Electrocardiographic alterations and raised procalcitonin levels during anaphylactic shock
Anaphylaxis represents a systemic disease occurring after the exposure to an allergen. Drugs for the treatment of anaphylactic reactions (ie, corticosteroids and adrenalin) could induce autonomic alterations, such as tachycardia, hyperthermia, tachypnoea and leucocytosis. We describe the case of a 5...
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| Veröffentlicht in: | BMJ case reports 2020-01, Vol.13 (1), p.e233521 |
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| creator | Mirijello, Antonio D'Errico, Maria Maddalena Piscitelli, Pamela De Cosmo, Salvatore |
| description | Anaphylaxis represents a systemic disease occurring after the exposure to an allergen. Drugs for the treatment of anaphylactic reactions (ie, corticosteroids and adrenalin) could induce autonomic alterations, such as tachycardia, hyperthermia, tachypnoea and leucocytosis. We describe the case of a 52-year-old woman presenting with a severe allergic reaction after the ingestion of amoxicillin-clavulanate. The occurrence of ECG alterations, laboratory abnormalities and procalcitonin (PCT) elevation will be discussed with particular emphasis on the possible misleading role of PCT during anaphylactic shock. |
| doi_str_mv | 10.1136/bcr-2019-233521 |
| format | Article |
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Drugs for the treatment of anaphylactic reactions (ie, corticosteroids and adrenalin) could induce autonomic alterations, such as tachycardia, hyperthermia, tachypnoea and leucocytosis. We describe the case of a 52-year-old woman presenting with a severe allergic reaction after the ingestion of amoxicillin-clavulanate. The occurrence of ECG alterations, laboratory abnormalities and procalcitonin (PCT) elevation will be discussed with particular emphasis on the possible misleading role of PCT during anaphylactic shock.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-233521</identifier><identifier>PMID: 31969417</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Amoxicillin-Potassium Clavulanate Combination - adverse effects ; Anaphylaxis ; Anaphylaxis - drug therapy ; Anti-Bacterial Agents - therapeutic use ; Anti-Inflammatory Agents - therapeutic use ; Antibiotics ; Bacterial infections ; Biomarkers ; Blood pressure ; Cardiovascular disease ; Case reports ; Clarithromycin - therapeutic use ; drugs and medicines ; Electrocardiography ; Fainting ; Family medical history ; Female ; Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect ; Humans ; Hydrocortisone - therapeutic use ; immunology ; Infections ; Internal medicine ; Middle Aged ; Pain ; Penicillin ; Procalcitonin - blood ; Sepsis ; unwanted effects/adverse reactions</subject><ispartof>BMJ case reports, 2020-01, Vol.13 (1), p.e233521</ispartof><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. 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| subjects | Amoxicillin-Potassium Clavulanate Combination - adverse effects Anaphylaxis Anaphylaxis - drug therapy Anti-Bacterial Agents - therapeutic use Anti-Inflammatory Agents - therapeutic use Antibiotics Bacterial infections Biomarkers Blood pressure Cardiovascular disease Case reports Clarithromycin - therapeutic use drugs and medicines Electrocardiography Fainting Family medical history Female Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect Humans Hydrocortisone - therapeutic use immunology Infections Internal medicine Middle Aged Pain Penicillin Procalcitonin - blood Sepsis unwanted effects/adverse reactions |
| title | Electrocardiographic alterations and raised procalcitonin levels during anaphylactic shock |
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