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KMID : 1037620140010020112
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Pediatric Emergency Medicine Journal
2014 Volume.1 No. 2 p.112 ~ p.114
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A Case of Anaphylaxis with Unusual Clinical Presentation that Obscured Early Diagnosis
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Lee Se-Uk
Jung Jae-Yun
Suh Dong-Bum
Kim Do-Kyun
Kwak Young-Ho
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Abstract
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Anaphylaxis is a severe systemic allergic reaction, which progresses rapidly and may cause death. However, the diagnosis of anaphylaxis is difficult because initial symptoms and signs of anaphylaxis have various patterns. We reported a case of anaphylaxis with unusual clinical presentation that made diagnosis difficult. A 14-year-old male presented emergency department with dizziness and temporary hypotonia. While observing his symptom, the patient’s blood pressure decreased rapidly. After thorough history taking, we found out that he had been suffered from pruritus and nausea for two days. The patient received a large volume of crystalloid and intramuscular epinephrine. And the blood pressure recovered soon. When physicians evaluate patients with respiratory or circulatory compromise, we should consider the possibility of anaphylaxis through careful history taking and administer epinephrine immediately if necessary.
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KEYWORD
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Muscle Hypotonia, Anaphylaxis, Hypotension, Epinephrine
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