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8 "Antibiotics"
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Case reports
Hypersensitivity Reaction to Perioperative Drug Mistaken for Local Anesthetic Systemic Toxicity in a Patient under Brachial Plexus Block
Jee Young Jun, Youn Jin Kim, Jong Hak Kim, Jong In Han
Kosin Med J. 2018;33(3):468-476.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.3.468
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Perioperative anaphylaxis, although rare, is a severe, life-threatening unexpected systemic hypersensitivity reaction. Simultaneous administration of various drugs during anesthesia, the difficulty of communicate with patients in sedation and anesthesia, and coverage of the patient with surgical drapes are considered to be factors that impede early recognition of anaphylactic reactions. It is very important to perform an intradermal skin test because antibiotics are the most common cause of perioperative anaphylaxis. We report a case of negative-intradermal skin test antibiotic anaphylaxis mistaken for local aesthetic systemic toxicity without increase of serum tryptase for confirmative diagnostic biomaker during surgery under brachial plexus block. It is not possible to exclude the danger of anaphylaxis completely, even if it is negative-intradermal skin test and normal tryptase level. Therefore, anesthesiologists should be closely monitored and treated early for antibiotics related hypersensitive reaction, like other medicines during anesthesia.

Anaphylaxis occurred immediately after prophylactic antibiotics injection with negative intradermal skin test during laparoscopic cholecystectomy
Hyung Joo Jeong, Hsi Chiang Kung, Tae Woo Park, Dong Hee Kang, Yu Som Shin, Ju Deok Kim
Kosin Med J. 2018;33(2):245-251.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.2.245
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Abstract PDFPubReader   ePub   

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.

Case of subdural Empyema Secondary to Suppurative Otitis Media
So Young Huh, Ji Hyun Lee, Ji Young Park
Kosin Med J. 2009;24(1):187-189.   Published online June 30, 2009
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Original articles
INHIBITION OF HUMAN NEUTROPHIL ELASTASE BY DIFFERENT CLASSES OF ANTIBIOTICS
Sa-Youl Ghim, KANG KOO IL
The Journal of Kosin Medical College. 1988;4(1):21-26.
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The Antimicrobial Susceptibility of Various Microorganisms Isolated from Kosin Medical College Hospital in 1986
Jun Hyeun Park, Sook Ja Park
The Journal of Kosin Medical College. 1988;4(1):111-122.
  • 270 View
  • 1 Download
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The Antimicrobial Susceptibility for various Microorganisms Isolated from Kosin Medical College Hospital from 1986 to 1988
Jin Sook Lee, Hyeung Kim, June Hyeun Park, Sook Ja Park
The Journal of Kosin Medical College. 1989;5(1):119-134.
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The Antimicrobial Susceptibility of Methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis
Hyeung Kim, Jin Sook Lee, June Hyeun Park, Sook Ja Park
The Journal of Kosin Medical College. 1989;5(2):55-63.
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Clinical Observation of Blood Culture Positive Neonatal Septicemia
Jung Hyun Lee, Soon Yeo, Jae Sun Park
Kosin Med J. 2006;21(2):119-125.
  • 320 View
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