Got a Pen for Allergen Immunotherapy? Lessons from Near-Fatal Anaphylaxis with Pulmonary Edema

被引：1

作者：

Prenzel, Freerk ^{[1
,2
]}

Nissler, Karl ^{[3
]}

Siekmeyer, Manuela ^{[1
]}

vom Hove, Maike ^{[1
,2
]}

Schleicher, Gudrun ^{[4
]}

Kiess, Wieland ^{[1
]}

Lipek, Tobias ^{[1
,2
]}

机构：

[1] Univ Leipzig, Dept Pediat, Med Ctr, Liebigstr 20a, D-04179 Leipzig, Germany

[2] Leipzig Interdisciplinary Ctr Allergy LICA, Leipzig, Germany

[3] Sana Hosp Leipzig Reg, Dept Pediat, Borna, Germany

[4] Pediat Med Practice, Rotha, Germany

来源：

JOURNAL OF ASTHMA AND ALLERGY | 2020年 / 13卷

关键词：

epinephrine auto-injector; allergen immunotherapy; emergency equipment; house dust mite; EPINEPHRINE; CHILDREN; SAFETY; AUTOINJECTORS; MANAGEMENT;

D O I：

10.2147/JAA.S287315

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

On our pediatric intensive care unit, we successfully treated a 10-year-old boy with severe pulmonary edema due to anaphylaxis after his last injection of a 3-year course of allergen immunotherapy (AIT). In view of the severity of the adverse event, we initiated a case analysis with all involved medical professionals. The evaluation revealed delayed administration of epinephrine due to dosing uncertainty and underestimation of severity. Consequently, all involved institutions established epinephrine auto-injectors (EAIs) in their emergency equipment. We suggest providing EAIs in every practice conducting AIT, as well as in pediatric emergency rooms and ambulances. We would like to remind readers of the risk of anaphylaxis, even on the last day of AIT.

引用

页码：753 / 756

页数：4

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