When toothache results in asthma diagnosis

• Authors: Maryam Rahimo , Joanna Jerzyńska , Agnieszka Brzozowska , Daniela Podlecka

Abstracts

EN

Local anesthetics (LA) have been used for a wide variety of procedures over the years due to their analgesic effect. These drugs have been seen to cause adverse events in the pediatric population, but an actual allergy must be in question. A case of an apparent hypersensitivity reaction to LA used in the setting of dental procedures in a 14.5-year-old girl with a forgotten history of asthma was reported and medical documentation review was performed. After treatment with LA during several dental procedures, the patient presented the shortness of breath, malaise and fainting, which then resolved spontaneously. After proper history taking, and skin and provocation tests, the patient was diagnosed with bronchial asthma and emotional sensitivity. The patient’s recommendation included using an antihistamine and controlling her asthma before the use of LA, and administering the drug in a supine position. It is essential to consider all possible etiologies of an adverse event after using drugs in the pediatric population and to perform proper testing before making the diagnosis of a drug allergy.

Keywords

EN

children; asthma; anaphylaxis; drug allergy; local anesthetic agents; dyspnea

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2021
• Volume: 35
• Issue: 1
• Pages: 107-110

Dates

published

2022

Contributors

author

Maryam Rahimo

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Korczak Paediatric Center, Department of Pediatrics and Allergy)

author

Joanna Jerzyńska

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Korczak Paediatric Center, Department of Pediatrics and Allergy)

author

Agnieszka Brzozowska

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Korczak Paediatric Center, Department of Pediatrics and Allergy)

author

Daniela Podlecka

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Korczak Paediatric Center, Department of Pediatrics and Allergy)

Identifiers

DOI

10.13075/ijomeh.1896.01810

Biblioteka Nauki

2085656