Background: Rapid intravenous administration of vancomycin may manifest with histaminergic responses with clinical features ranging from mild rashes, pruritus and even shock. This case reports of a child, who was accidentally given intravenous vancomycin within minutes and had a cardiac arrest.
Case Presentation: A 9-year-old Asian girl who was scheduled for a limb salvage surgery, received vancomycin preoperatively.