[Anaphylactic shock to iodinated povidone]

C Palobart; J Cros; I Orsel; N Nathan

doi:10.1016/j.annfar.2008.12.016

[Anaphylactic shock to iodinated povidone]

Ann Fr Anesth Reanim. 2009 Feb;28(2):168-70. doi: 10.1016/j.annfar.2008.12.016. Epub 2009 Feb 18.

[Article in French]

Authors

C Palobart¹, J Cros, I Orsel, N Nathan

Affiliation

¹ Département d'anesthésie-réanimation, CHU Dupuytren, 2 avenue Martin-Luther-King, Limoges cedex, France. letamamoir@hotmail.fr

PMID: 19232885
DOI: 10.1016/j.annfar.2008.12.016

Abstract

Anaphylaxis during anaesthesia is a rare event which is mainly related to neuromuscular blocking agents. Latex and antibiotics are less frequently incriminated. However, allergy may be triggered by other less frequent and hidden allergen. Among these, povidone is largely used in numerous therapeutics and cosmetics. We report here an exceptional case of grade 3 anaphylactic shock with iodinated povidone administered via a rectal route.

Publication types

Case Reports

MeSH terms

Administration, Rectal
Anaphylaxis / chemically induced*
Anaphylaxis / drug therapy
Anaphylaxis / therapy
Anti-Infective Agents, Local / administration & dosage
Anti-Infective Agents, Local / adverse effects*
Colectomy
Colonic Diseases / complications
Colonic Diseases / surgery
Combined Modality Therapy
Crystalloid Solutions
Diagnostic Errors
Drug Hypersensitivity / diagnosis*
Epinephrine / therapeutic use
Food Hypersensitivity / diagnosis
Humans
Intestinal Perforation / complications
Intestinal Perforation / surgery
Isotonic Solutions / therapeutic use
Male
Methylprednisolone / therapeutic use
Middle Aged
Povidone-Iodine / administration & dosage
Povidone-Iodine / adverse effects*
Preanesthetic Medication*
Shock, Septic / etiology
Wernicke Encephalopathy / complications

Substances

Anti-Infective Agents, Local
Crystalloid Solutions
Isotonic Solutions
Povidone-Iodine
Methylprednisolone
Epinephrine