Gastrointestinal anisakiasis is a parasitic infection occurring in people that consume raw or inadequately cooked fish or squid. It is frequently characterized by severe epigastric pain, nausea and vomiting caused by the penetration of the larvae into the gastric wall. Acute gastric anisakiasis with severe chest discomfort is rarely reported in Italy. On the other hand, gastro-allergic anisakia...

To the Editor: We present 2 cases of bilateral swelling of the parotid glands appearing after application of contrast media. This unusual reaction is also known as Biodide mumps.[ As there is no premedication that can prevent its appearance, it is advisable in these cases to use imaging systems without iodide-based contrast media. The first case was a 70-year-old man with significant bilateral,...

Anesthesiologists use a myriad of drugs during the provision of an anesthetic. Many of these drugs have side effects that are dose related, and some lead to severe immune-mediated adverse reactions. Anaphylaxis is the most severe immune-mediated reaction; it generally occurs on reexposure to a specific antigen and requires the release of proinflammatory mediators. Anaphylactoid reactions occur ...

Anaphylactoid reactions (AR) are the most feared complications of hemodialysis. Recently, a high incidence of AR has been reported during dialysis with AN69 membranes in patients treated with ACE inhibitors. Plasma levels of C3a, histamine and bradykinin were measured in 12 patients at the onset of AR during dialysis with AN69. We also investigated bradykinin generation in 10 symptom-free patie...

PURPOSE To investigate the relationship between different types of adverse drug reaction (ADR) and late time to N-acetylcysteine (NAC) infusion in patients presenting to the hospital with acetaminophen overdose. METHODS This is a retrospective study of patients admitted to the hospital for acute acetaminophen overdose over a period of 5 years (1 January 2004 to 31 December 2008). The primary ...

Ten patients with active rheumatoid arthritis were given a total dose infusion of iron dextran for anaemia. One had an immediate anaphylactoid reaction; the other nine had a brief exacerbation of arthralgia and joint dysfunction of up to seven days' duration. The erythrocyte sedimentation rate rose by an average of 23 mm. in one hour (Westergren), but this often took longer than seven days to s...

THE PROBLEM At the University of Colorado, we have designed the Radiologist Adult Contrast Reaction Smartcard to facilitate rapid and accuate radiologist response to contrast eactions. In the radiology suite, here are myriad potential patientelated reactions radiologists are exected to treat, including nausea, asovagal events, hives, bronchopasm, angioedema, and cardiovasular collapse. As these...

but tolerated the semi-synthetic analogue: nalbuphine (in vivo administration). Although meperidine can cause pseudo-allergic reaction, therefore 'false' positive prick tests, our patient's strong skin reaction compared with control persons indicated a true hypersensitivity (Fig. 1). The case demonstrates the importance of drug allergy examinations in perioperative anaphylaxis and the existence...