Anaphylaxis following enteral exposure to .

BMJ Case Rep

General Medicine, Northern Health, Epping, Victoria, Australia.

Published: November 2020

AI Article Synopsis

  • A 75-year-old man was admitted to an emergency department with severe symptoms including hypotension, wheezing, rash, and diarrhea after taking oral supplements.
  • His initial diagnosis was gastroenteritis, but this was changed after a blood test showed elevated tryptase levels, indicating an allergic reaction.
  • This case is notable as it seems to be the first reported instance of anaphylaxis linked specifically to the supplements he ingested.

Article Abstract

We present a case of a 75-year-old man who was admitted to an Australian tertiary emergency department with severe hypotension, wheeze, widespread urticarial rash and diarrhoea. On arrival to the emergency department following initial resuscitation by ambulance staff, he was admitted to the intensive care unit with a presumptive diagnosis of gastroenteritis. This diagnosis was later revised following the availability of tryptase levels and clarification of his presenting circumstances, which established a clear temporal relationship between his anaphylactoid symptoms and the oral ingestion of supplements. While there are a few case studies describing allergic/anaphylactic reactions to several other species of , this appears to be the first reported case of anaphylaxis to .

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607580PMC
http://dx.doi.org/10.1136/bcr-2020-237054DOI Listing

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