• BMJ case reports · Aug 2017

    Case Reports

    Anaphylaxis after disinfection with 2% chlorhexidine wand applicator.

    • Sameer Bahal, Samriti Sharma, Lene Heise Garvey, and Vasantha Nagendran.
    • Department of Immunology, Barts Health NHS Trust, London, UK.
    • BMJ Case Rep. 2017 Aug 8; 2017.

    AbstractA 54-year-old man with end-stage renal failure attended for dialysis. Within seconds of applying 2% w/v chlorhexidine (ChloraPrep 3 mL Wand Applicator) to the skin surrounding the insertion point of his dialysis catheter (Tesio catheter), he developed pruritus, urticaria, shortness of breath, hypotension and reduced responsiveness. Treatment for anaphylaxis was initiated with rapid improvement of his symptoms, and he made a full recovery. Allergy to chlorhexidine was confirmed with skin testing, and the patient was warned against all future exposure to chlorhexidine. Subsequent dialysis without chlorhexidine was uneventful.© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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