Intravenous fluorescein as a cause of immunoglobulin E-mediated anaphylactic shock.

Breidablik, A; De Pater, G H; Walther, C; Nopp, A; Guttormsen, A B · Acta Anaesthesiol Scand · 2012

case_report · Level V

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Abstract

We report a patient with severe anaphylactic shock immediately after injection of i.v. fluorescein. The patient recovered without sequela. Immunoglobulin E (IgE) mechanism was highly suggestive with significant increase in serum tryptase, positive basophil allergen threshold sensitivity (CD-sens) and histamine release tests towards fluorescein. This is, to our knowledge, the first report where CD-sens has been used to aid in diagnosing an IgE-mediated anaphylactic shock caused by fluorescein.

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