https://wjbphs.com/sites/default/files/WJBPHS-2024-0154.pdf
Richard Hazen, Lawahidh Fali Hasham, Danielle Kirksey and Ali Esmail Al-Snafi (Texas Health Alliance Hospital, Texas Health Resources, Fort Worth Texas; Department of Pharmacology, College of Medicine, University of Thi Qar)
World Journal of Biology Pharmacy and Health Sciences, 2024, 17(02), 292–294. accepted on 29 March 2024 DOI: https://doi.org/10.30574/wjbphs.2024.17.3.0154
Abstract
This case report presents a 53-year-old woman with a history of mastocytosis and reported lidocaine allergy who experienced an anaphylactic reaction following administration of chloroprocaine during a breast biopsy procedure. The patient was promptly treated with epinephrine, methylprednisolone, famotidine, and diphenhydramine, leading to stabilization. She was subsequently transferred to the intensive care unit (ICU) for observation and discharged after 24 hours. This case highlights the importance of vigilance and preparedness for managing anaphylactic reactions in patients with mastocytosis and known allergies to local anesthetics.
Keywords: Chloroprocaine; Mastocytosis; lidocaine; Anaphylactic reaction.
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