Anaphylaxis after disinfection with 2% chlorhexidine wand applicator

TY - JOUR

T1 - Anaphylaxis after disinfection with 2% chlorhexidine wand applicator

AU - Bahal, Sameer

AU - Sharma, Samriti

AU - Garvey, Lene Heise

AU - Nagendran, Vasantha

N1 - © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

U2 - 10.1136/bcr-2017-219794

DO - 10.1136/bcr-2017-219794

M3 - Journal article

C2 - 28790050

SN - 1757-790X

VL - 2017

JO - BMJ Case Reports

JF - BMJ Case Reports

M1 - bcr-2017-219794

ER -