Abstract

Nasal nebulizer has been recognized useful treatment for a long while since 1958. We experienced a case of anaphylactic shock after nasal nebulizer contained cefmenoxime hydrochloride (CMX) and Rinderon. A 58-year-old female had cutaneous symptoms (itching, flush), cardiovascular symptoms (pulse weakening, hypotension), respiratory symptoms (rough breathing, dyspnea), digestive symptoms (vomit, incontinence of anus) and neurological symptom (consciousness loss) after nasal nebulizer. When she has had mild symptoms about anaphylactic reaction before this episode, internal medical doctor had diagnosed that symptoms were suspected neurally mediated syncope. We are recognizing anew difficulty of a precise judgment and speedily handling in face of anaphylactic shock, in spite of understanding possibility of anaphylaxis for antibiotics.

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