ウリナスタチンによる術中アナフィラキシーの１例

鶴田 紀子; 桑代 麻希; 永瀬 浩太郎; 井上 卓也; 成澤 寛; 與田 幸恵; 能城 浩和; 中村 公秀; 坂口 嘉郎

doi:10.18934/jedca.11.2_165

Case Report

A Case of Anaphylaxis during Anesthesia due to Urinastatin

Noriko TSURUTA, Maki KUWASHIRO, Kotaro NAGASE, Takuya INOUE, Yutaka NARISAWA, Yukie YODA, Hirokazu NOSHIRO, Kimihide NAKAMURA, Yoshiro SAKAGUCHI

Author information

Noriko TSURUTA
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine,Saga University
Maki KUWASHIRO
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine,Saga University
Kotaro NAGASE
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine,Saga University
Takuya INOUE
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine,Saga University
Yutaka NARISAWA
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine,Saga University
Yukie YODA
Department of Surgery, Saga University Faculty of Medicine
Hirokazu NOSHIRO
Department of Surgery, Saga University Faculty of Medicine
Kimihide NAKAMURA
Department of Anesthesiology and Critical Care Medicine, Saga University
Yoshiro SAKAGUCHI
Department of Anesthesiology and Critical Care Medicine, Saga University

Keywords: ulinastatin, anaphylaxis

JOURNAL RESTRICTED ACCESS

2017 Volume 11 Issue 2 Pages 165-168

DOI https://doi.org/10.18934/jedca.11.2_165

Details

Abstract

　A 21-year-old man developed anaphylactic shock during anesthesia. Intradermal testing indicated positive results with rocuronium. We introduced anesthesia without the use of a muscle relaxant, and he developed anaphylactic shock again. During an intravenous challenge test for Urinastatin, wheals were induced quickly. Although allergic reaction to Urinastatin is rare, determination of a preparation that can be safety administered to patients based on skin and challenge test is essential.

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