• A&A practice · Oct 2018

    Case Reports

    Anaphylactic Reactions to Native and Light-Exposed Sugammadex Suggested by Basophil Activation Test: A Report of 2 Cases.

    • Takashige Yamada, Takeshi Suzuki, Reiko Murase, Hiromasa Nagata, and Shizuko Kosugi.
    • From the Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan.
    • A A Pract. 2018 Oct 1; 11 (7): 181-183.

    AbstractWe describe 2 patients who developed anaphylactic shock after sugammadex administration during anesthesia. Both had no history of prior sugammadex administration. The serum tryptase concentrations were elevated after the allergic reaction. Basophil activation testing 1 month after the events was positive for sugammadex in 1 patient, and negative in the other. However, it was positive for light-exposed sugammadex solution in both patients, suggesting a possible allergic reaction to a denatured compound of sugammadex generated by light exposure of the sugammadex solution.

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