Author/Authors :
ATANASKOVIC MARKOVIC, MARIANA University Children s Hospital - Department ofAllergology and Pulmonology, Serbia , GAVROVIC JANKULOIC, MARIJA University Children s Hospital - Department ofAllergology, Serbia , CIRKOVIC VELICKOVIC, TANJA University ofBelgrade - Department ofAllergology, Serbia , VUEKOVIC, OLJA University ofBelgrade - Department ofAllergology, Serbia , IVANOVSKI, PETER University Children s Hospital - Department ofAllergology and Pulmonology, Serbia , NESTORIVIC, BRANIMIR University Children s Hospital - Department ofAllergology and Pulmonology, Serbia , CUTURILO, CORAN University Children s Hospital - Department ofAllergology and Pulmonology, Serbia , SIMIC, DUSICA University Children s Hospital - Department of Anesthesiology, Serbia
Abstract :
Natural rubber latex is the second most implicated agent in intraoperative anaphylactic reactions. This report describes a case of intraoperative anaphylaxis occurring in a non-atopic fourteen-year-old girl undergoing multiple surgical procedures, but without spina bifida, in which latex surgical gloves were the main culprit for the anaphylactic reactions. Clinical manifestations of an anaphylactic reaction were also experienced during the examination of the possible cause of intraoperative anaphylaxis by skin prick testing with a latex allergen extract. Skin tests with anesthetics were negative. Specific IgE to latex was positive at 92.9 kUA/L (class 5). The molecular basis for the reported intraoperative anaphylaxis was ascribed to three low-molecular mass latex allergens (10-15 kD) detected in the brand of latex surgical gloves used during the operation. Given the potential of a dramatic outcome, latex allergy testing as a regular preoperative measure may contribute to the reduction of anaphylactic reactions during surgical interventions.
