Delayed Anaphylaxis to Mammalian Meat Following Tick Exposure and Its Impact on Anesthetic Management for Cardiac Surgery: A Case Report
| Autor: | Keith E. Littlewood, Danja S. Groves, Amanda M. Kleiman |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Meat Anesthetic management Tick Bioinformatics 03 medical and health sciences 0302 clinical medicine TICK EXPOSURE Immune system Atrial Fibrillation Medicine Humans Cardiac Surgical Procedures 030223 otorhinolaryngology Anaphylaxis Sensitization Aged Anesthetics Tick Bites biology business.industry General Medicine Heparin Aortic Valve Stenosis medicine.disease biology.organism_classification Cardiac surgery medicine.anatomical_structure 030228 respiratory system Anesthesia Female business Food Hypersensitivity medicine.drug |
| Zdroj: | AA case reports. 8(7) |
| ISSN: | 2325-7237 |
| Popis: | Hypersensitivity reactions to mammalian meat following tick exposure are increasing in prevalence and provide a unique challenge to anesthesiologists. The reactions, including anaphylaxis, are delayed and therefore may not be easily recognized and treated. The risk is especially high in cardiac surgery, where several potential triggers, including biological valves as well as heparin, are used frequently. In the presence of such hypersensitivity, prophylactic measures including preoperative testing and pharmacologic prophylaxis may be useful in modulating the immune response such that triggering agents may be used relatively safely. We present 3 patients with previous sensitization to meat protein following a tick bite with known allergic reactions to mammalian meat who presented for cardiac surgery involving exposure to potential allergens and discuss the perioperative management including possible prevention. |
| Databáze: | OpenAIRE |
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