Korean J Anesthesiol.  2009 Oct;57(4):499-502. 10.4097/kjae.2009.57.4.499.

Allergic reactions after intravenous injection of methylprednisolone: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. ahnkiry@schca.ac.kr

Abstract

Corticosteroid preparations have anti-inflammatory and immunosuppressive properties and are used widely for the treatment of allergic disorders and asthma. Steroids themselves, however, can induce hypersensitivity reactions. In this study, we report the case of a 66-year-old man with chronic obstructive pulmonary disease who exhibited an allergic reaction (rash, bronchospasm, bradycardia, severe hypotension and cardiac arrest) immediately after the intravenous injection of methylprednisolone sodium succinate. Despite cardiopulmonary resuscitation, sinus rhythm was not restored. The anesthesiologist should be aware that allergic reactions to corticosteroids can occur.

Keyword

Allergic reactions; Cardiopulmonary resuscitation; Corticosteroids

MeSH Terms

Adrenal Cortex Hormones
Aged
Asthma
Bradycardia
Bronchial Spasm
Cardiopulmonary Resuscitation
Humans
Hypersensitivity
Hypotension
Injections, Intravenous
Methylprednisolone Hemisuccinate
Pulmonary Disease, Chronic Obstructive
Steroids
Adrenal Cortex Hormones
Methylprednisolone Hemisuccinate
Steroids
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