• Anaesthesia · Feb 1987

    Case Reports

    Anaphylactoid reaction to alcuronium.

    • J M Pusey, S M Charlton, J B Skinner, and E S Assem.
    • Anaesthesia. 1987 Feb 1;42(2):164-7.

    AbstractA 67-year-old woman suffered cardiovascular collapse during induction of anaesthesia. This was later shown to be anaphylactic in origin; the causative agent was alcuronium. In vitro testing showed a highly specific sensitivity to alcuronium with minimal cross-reactivity. Future anaesthesia with decreased risk was thereby assured. The clinical nature of this reaction and a review of the literature implicate the cardiovascular system as the principal target in this type of reaction to alcuronium and suggest that the heart is directly involved.

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