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Korean Journal of Anesthesiology 2007;52(1):104-106.
DOI: https://doi.org/10.4097/kjae.2007.52.1.104   
Chlorhexidine Anaphylaxis after Urethral Catheterization during Anesthesia : A case report.
Tae Hee Kim, Suk Ju Cho, Hye Jin Kim, Gyu Jeong Noh
1Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea. nohgj@amc.seoul.kr
2Clinical Pharmacology and Therapeutics, Asan Medical Center, Seoul, Korea.
3Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea.
Abstract
Chlorhexidine is a widely used antiseptic and disinfectant that has eliminating effects on gram-positive bacteria, gram-negative bacteria, some mycobacteria, candida albicans, and some viruses. There have been a few reports regarding severe adverse reactions associated with chlorhexidine. But, there was no report about the anaphylactic shock due to chlorhexidine during anesthesia in Korea. We report a severe anaphylaxis reaction after the use of chlorhexidine jelly for the urethral catheterization, presenting the positive skin test for chlorhexidine. This case shows that the 'innocent' products such as urethral lubricants may elicit serious life-threatening reactions.
Key Words: anaphylactic shock; chlorhexidine


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