AI Article Synopsis
- Penicillin desensitization is crucial for pregnant patients with severe penicillin allergies who also have syphilis.
- A pregnant patient with secondary syphilis experienced anaphylaxis during the desensitization process but was successfully treated with intramuscular epinephrine.
- Continuous fetal monitoring during the episode indicated that the fetus experienced stable conditions, suggesting that epinephrine has little to no immediate negative effects on the fetus in such situations.
Article Abstract
Penicillin desensitization is indicated in pregnant patients with severe allergies to penicillin with syphilis. The immediate effects of intramuscular epinephrine on the fetus during desensitization remain unreported. We describe a pregnant patient with secondary syphilis and penicillin allergy who developed anaphylaxis during penicillin desensitization. Anaphylaxis resolved after administration of intramuscular epinephrine. Throughout the procedure, continuous electronic fetal monitoring showed a stable fetus without a decrease in variability, tachycardia, decelerations, or signs of fetal distress. This case showed that intramuscular epinephrine is effective in treatment of anaphylaxis in a pregnant patient with little to no immediate effects on the fetus.
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| http://dx.doi.org/10.1080/14767058.2017.1336221 | DOI Listing |
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