Pediatric Patients with Previous Anaphylactic Reactions to General Anesthesia: a Review of Literature, Case Report, and Anesthetic Considerations

Latex Allergy in Children

“…The diagnosis of these forms is often complex, and although in recent years, the percentage of intraoperative anaphylaxis attributable to latex allergy has been decreasing [ 47 ], it must be placed in a differential diagnosis with other potential intraoperative triggers such as anesthetic drugs, muscle relaxants, and antibiotics. In a recent review, Ma et al analyzed 21 cases of intraoperative anaphylaxis in children; in seven cases, the allergen involved was latex [ 48 ]. Delayed immune-mediated reactions (type IV) can be associated with latex additives or with the latex itself.…”

Severe anaphylactic shock after anesthesia induction: An unusual initial manifestation of Churg-Strauss syndrome

“…1 Perioperative allergic reactions can be life-threatening but the frequency of anaphylaxis during general anesthesia is reported to be low, with a frequency between 1:5000 and 1:20,000 cases. 2,3 Statistical data on perioperative anaphylaxis in pediatric patients are rare and the overall incidence in children is usually underreported, compared to adults. 2 Only a few case reports of patients with Churg-Strauss syndrome receiving anesthesia have been reported.…”

“…2,3 Statistical data on perioperative anaphylaxis in pediatric patients are rare and the overall incidence in children is usually underreported, compared to adults. 2 Only a few case reports of patients with Churg-Strauss syndrome receiving anesthesia have been reported. 4,5 A case of anaphylactic shock after induction of anesthesia, as the initial clinical presentation of Churg-Strauss syndrome in a 15-year-old girl is presented.…”