Anaphylaxis to nimesulide

Dubini, Marco; Marraccini, Paolo; Gagliardi, C; Marelli, Sara; Rivolta, Federica

doi:10.1016/j.anai.2021.04.007

Cited by 2 publications

(1 citation statement)

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“…20,23 Nimesulide-induced anaphylaxis is also reported in the literature. 24 In this article, we present a case of anaphylaxis caused by rivaroxaban in a female patient. Even though we suspect that the cause of the severe allergic reaction in our patient was rivaroxaban, the patient ingested both rivaroxaban and nimesulide prior to the development of anaphylaxis.…”

Section: Introductionmentioning

confidence: 99%

Suspected Rivaroxaban-Induced Anaphylaxis Secondary to Ingestion of Rivaroxaban and Nimesulide Without Cross-Reactivity to Dabigatran – A Case Report

Gumbis,

Česnavičiūtė,

Didžiokaitė

et al. 2023

JAA

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Here, we describe a case of anaphylaxis secondary to rivaroxaban in a 61-year-old woman 24 hours after orthopedic surgery. 10-15 minutes after ingestion of rivaroxaban and nimesulide, the patient's palms started itching, her face and lips swelled, her face flushed, she developed shortness of breath and subsequently lost consciousness. Serum tryptase levels at the time of the anaphylactic reaction were elevated, with subsequent measurement one month later returning a value within the normal range. Dabigatran and meloxicam were identified as suitable alternative drugs by oral provocation at an allergy clinic. Even though rivaroxaban rarely causes serious allergic reactions, when prescribing it, it is important to analyze patients' medical history for possible previously experienced drug-induced allergic reactions and to be aware of the risks of possible undesired drug interactions.

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Section: Introductionmentioning

confidence: 99%