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Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound

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Abstract

Anaphylaxis during image-guided interventional procedures is a rare but potentially fatal event. Anaphylaxis to iodinated contrast is an established and well-recognized adverse effect. However, anaphylaxis to some of the other frequently administered medications given during interventional procedures, such as corticosteroids, is not common knowledge. During caudal epidural injection, iodinated contrast is used to confirm needle placement in the epidural space at the level of the sacral hiatus. A combination of corticosteroid, local anesthetic, and saline is subsequently injected. We describe a very rare case of anaphylaxis to a component of the steroid medication instilled in the caudal epidural space.

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References

  1. MacMahon PJ, Eustace SJ, Kavanagh EC. Injectable corticosteroid and local anesthetic preparations: a review for radiologists. Radiology. 2009;252(3):647–61.

    Article  PubMed  Google Scholar 

  2. Savitz JA, Durning SJ. A rare case of anaphylaxis to bowel prep: a case report and review of the literature. Mil Med. 2011;176(8):944–5.

    PubMed  Google Scholar 

  3. Stollman N, Manten HD. Angioedema from oral polyethylene glycol electrolyte lavage solution. Gastrointest Endosc. 1996;44(2):209–10.

    Article  PubMed  CAS  Google Scholar 

  4. Hyry H, Vuorio A, Varjonen E, Skyttä J, Mäkinen-Kiljunen S. Two cases of anaphylaxis to macrogol 6000 after ingestion of drug tablets. Allergy. 2006;61(8):1021.

    Article  PubMed  CAS  Google Scholar 

  5. Co-Minh HB, Demoly P, Guillot B, Raison-Peyron N. Anaphylactic shock after oral intake and contact urticaria due to polyethylene glycols. Allergy. 2007;62(1):92–3.

    Article  PubMed  CAS  Google Scholar 

  6. Hesselbach C, Böhning W, Wettengel R. Anaphylactic shock after sucking on a throat lozenge. Dtsch Med Wochenschr. 1990;115(37):1397–9.

    Article  PubMed  CAS  Google Scholar 

  7. Dewachter P, Moutone-Faivre C. Anaphylaxis to macrogol 4000 after a parenteral corticoid injection. Allergy. 2005 May;60(5):705–6.

    Article  PubMed  Google Scholar 

  8. Sohy C, Vandeplas O, Sibille Y. Usefulness of oral macrogol challenge in anaphylaxis after intra-articular injection of corticosteroid preparation. Allergy. 2008;63(4):478–9.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

    Deirdre E. Moran, Michael R. Moynagh, Majedah Alzanki, Victoria O. Chan & Stephen J. Eustace

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  1. Deirdre E. Moran
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  2. Michael R. Moynagh
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  3. Majedah Alzanki
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  4. Victoria O. Chan
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  5. Stephen J. Eustace
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Correspondence to Deirdre E. Moran.

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Moran, D.E., Moynagh, M.R., Alzanki, M. et al. Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound. Skeletal Radiol 41, 1317–1318 (2012). https://doi.org/10.1007/s00256-012-1440-3

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  • DOI: https://doi.org/10.1007/s00256-012-1440-3

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