Management of anaphylactic shock during intravenous fluorescein angiography at an outpatient clinic

Chang Sue Yang, Chun Sung Sung, Fenq Lih Lee, Wen-Ming Hsu

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We report the proper management of a severe adverse reaction of anaphylactic shock during intravenous fluorescein angiography at an outpatient clinic. A 72-year-old male developed the severe, life-threatening complication after intravenous injection of sodium fluorescein dye for retinal angiography. Three minutes after receiving an intravenous injection of fluorescein, the patient developed syncope, apnea and circulatory shock. Fortunately, he recovered without any neurologic sequelae after immediate intensive resuscitation with fluid and inotropic support. We highlight the occurrence of anaphylactic shock as a potentially fatal complication during intravenous fluorescein angiography. Thus, one should be alert to the possibility of this adverse event and be prepared to deal with it when fluorescein angiography is performed. When it happens, immediate intensive medical resuscitation is essential to minimize morbidity and to avoid mortality.

Original languageEnglish
Pages (from-to)348-349
Number of pages2
JournalJournal of the Chinese Medical Association
Volume70
Issue number8
DOIs
Publication statusPublished - Jan 1 2007
Externally publishedYes

Keywords

  • Anaphylactic shock
  • Fluorescein angiography
  • Fluorescein contrast medium

ASJC Scopus subject areas

  • Medicine(all)

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