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KMID : 1141320180330020245
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Kosin Medical Journal
2018 Volume.33 No. 2 p.245 ~ p.251
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Anaphylaxis occurred immediately after prophylactic antibiotics injection with negative intradermal skin test during laparoscopic cholecystectomy
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Jeong Hyung-Joo
Kung Hsi Chiang
Park Tae-Woo
Kang Dong-Hee
Shin Yu-Som
Kim Ju-Deok
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Abstract
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Prophylactic antibiotics that are used to prevent post-operative infection can commonly cause anaphylactic reactions during anesthesia. It is therefore necessary to perform a skin test before antibiotics are administered in order to diagnose and prevent anaphylactic reactions. However, the results of the antibiotic skin test can differ according to the drug, dose, and reagent concentration. We report a case of anaphylactic shock with bronchospasm and cardiovascular collapse immediately following administration of the prophylactic cefazedone after induction of general anesthesia for laparoscopic cholecystectomy.
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KEYWORD
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Anaphylaxis, Antibiotics, Intradermal tests, Shock
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