Literature DB >> 26266227

An Unusual Complication with Use of Lignocaine: A Case Report.

Vikas S Meshram1, Priyatama V Meshram2, Pravin N Lambade3, Manish S Tiwari4.   

Abstract

Allergic responses to lignocaine (amide local anaesthesia) used in dentistry is extremely rare. It is widely used by Oral Maxillofacial surgeons to carry out various procedures safely, comfortably and efficiently. It is important for the practitioners to be aware that allergic reactions though very rare, can occur after injection of lignocaine intradermally for allergy testing. A proper diagnosis and management of such allergic reaction is very essential to avoid undesired consequences. We report a case of a 50-year-old male who suffered itching and generalized skin reaction within 5 minutes after administration of test dose of lignocaine intradermally for allergy testing. Clinical presentation, Diagnosis & management of such allergic reaction are discussed. As local anaesthetic agents are commonly used drugs in day to day practice clinicians are encouraged to be familiar with the presentation of various allergic reactions and there management.

Entities:  

Keywords:  Hypersensitivity; Lignocaine allergy; Skin testing

Year:  2015        PMID: 26266227      PMCID: PMC4525617          DOI: 10.7860/JCDR/2015/12757.6064

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  11 in total

1.  Recurrent facial swelling following dental procedures.

Authors:  Louise A Evans; Judy Pointing; Edward J Wills; John Michalopoulos; Stephen Adelstein
Journal:  Med J Aust       Date:  2002-11-04       Impact factor: 7.738

Review 2.  IgE-mediated allergy to local anaesthetics: separating fact from perception: a UK perspective.

Authors:  M V Bhole; A L Manson; S L Seneviratne; S A Misbah
Journal:  Br J Anaesth       Date:  2012-06       Impact factor: 9.166

3.  Allergic reactions to lignocaine.

Authors:  I A Ball
Journal:  Br Dent J       Date:  1999-03-13       Impact factor: 1.626

4.  Anaphylaxis to lidocaine with tolerance to articaine in a 12 year old girl.

Authors:  Khalid Al-Dosary; Ahmad Al-Qahtani; Abdullah Alangari
Journal:  Saudi Pharm J       Date:  2013-10-12       Impact factor: 4.330

5.  Delayed-type hypersensitivity to lidocaine.

Authors:  Christine L Mackley; James G Marks; Bryan E Anderson
Journal:  Arch Dermatol       Date:  2003-03

6.  IgE-mediated hypersensitivity reaction to lignocaine - a case report.

Authors:  A Noormalin; M Shahnaz; M Rosmilah; S H Mujahid; B S Gendeh
Journal:  Trop Biomed       Date:  2005-12       Impact factor: 0.623

7.  Cross-reactivity among amide-type local anesthetics in a case of allergy to mepivacaine.

Authors:  P González-Delgado; R Antón; V Soriano; P Zapater; E Niveiro
Journal:  J Investig Allergol Clin Immunol       Date:  2006       Impact factor: 4.333

Review 8.  Understanding allergic reactions to local anesthetics.

Authors:  S T Eggleston; L W Lush
Journal:  Ann Pharmacother       Date:  1996 Jul-Aug       Impact factor: 3.154

9.  Comparison of the local anesthetic effects of chlorpheniramine, midazolam, lidocaine, and normal saline after intradermal injection.

Authors:  Mehmet Emin Orhan; Uğur Yüksel; Ferruh Bilgin; Ahmet Doğrul
Journal:  Med Sci Monit       Date:  2007-04

10.  Suspected anaphylactic reactions associated with anaesthesia.

Authors:  N J N Harper; T Dixon; P Dugué; D M Edgar; A Fay; H C Gooi; R Herriot; P Hopkins; J M Hunter; R Mirakian; R S H Pumphrey; S L Seneviratne; A F Walls; P Williams; J A Wildsmith; P Wood; A S Nasser; R K Powell; R Mirakhur; J Soar
Journal:  Anaesthesia       Date:  2009-02       Impact factor: 6.955

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