Anaphylactic shock to iodinated povidone

Anaphylaxis during anaesthesia is a rare event which is mainly related to neuromuscular blocking agents. Latex and antibiotics are less frequently incriminated. However, allergy may be triggered by other less frequent and hidden allergen. Among these, povidone is largely used in numerous therapeutic...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2009-02, Vol.28 (2), p.168
Main Authors: Palobart, C, Cros, J, Orsel, I, Nathan, N
Format: Article
Language:fre
Subjects:
Administration, Rectal
Anaphylaxis - chemically induced
Anaphylaxis - drug therapy
Anaphylaxis - therapy
Anti-Infective Agents, Local - administration & dosage
Anti-Infective Agents, Local - adverse effects
Colectomy
Colonic Diseases - complications
Colonic Diseases - surgery
Combined Modality Therapy
Diagnostic Errors
Drug Hypersensitivity - diagnosis
Epinephrine - therapeutic use
Food Hypersensitivity - diagnosis
Humans
Intestinal Perforation - complications
Intestinal Perforation - surgery
Isotonic Solutions - therapeutic use
Male
Methylprednisolone - therapeutic use
Middle Aged
Povidone-Iodine - administration & dosage
Povidone-Iodine - adverse effects
Preanesthetic Medication
Shock, Septic - etiology
Wernicke Encephalopathy - complications
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Description
Summary:Anaphylaxis during anaesthesia is a rare event which is mainly related to neuromuscular blocking agents. Latex and antibiotics are less frequently incriminated. However, allergy may be triggered by other less frequent and hidden allergen. Among these, povidone is largely used in numerous therapeutics and cosmetics. We report here an exceptional case of grade 3 anaphylactic shock with iodinated povidone administered via a rectal route.
ISSN:1769-6623
DOI:10.1016/j.annfar.2008.12.016