Anaphylaxis caused by infusion of Kenacort-A^® into tympanic cavity in a case of eosinophilic otitis media

Abstract

The patient was a 72-year-old woman who had eosinophilic otitis media that was intractable. The general treatment for this condition includes infusion of steroids into the tympanic cavity. However, since this case was complicated by aspirin-induced asthma, the patient experienced anaphylaxis (dyspnea) immediately after Kenacort-A^® was injected into the tympanic cavity. I have performed this treatment for intractable otitis media in outpatient departments for 10 years, but I have not encountered such a case. Along with the case report, I present a review of the literature and report the mechanism of the anaphylactic onset.