Anaphylaxis due to drinking honey alcohol
Immediately after drinking honey wine, Ms. Linh had stomach cramps, was red all over, and was shivering and was rushed to Tam Anh General Hospital in Ho Chi Minh City.
Ms. Vu Thuy Linh (40 years old, HCMC) ate banh chung and drank a glass of honey wine. An hour later, she had stomach cramps, her whole body was red, she was sweating all over, and she was shivering violently. Seeing that her illness was getting worse, her relatives took Linh to Tam Anh General Hospital in Ho Chi Minh City for emergency treatment.
CKI doctor Phan Tuan Trong, Emergency Department, Tam Anh General Hospital in Ho Chi Minh City, received patients in a state of cold body, high blood pressure up to 200/130 mmHg (normally below 120/80 mmHg), patient’s hand slightly red, itchy. The patient was diagnosed with grade 3 anaphylaxis with food, given anti-shock drugs, oxygen, and controlled low blood pressure.
After the emergency, the patient is cared for and treated actively at the Intensive Care Unit – Anti-poison (ICU). After 2 days of follow-up, active treatment, the patient was well, leaving no complications.
The patient was treated promptly, out of danger. Photo: Tam Anh General Hospital in Ho Chi Minh City
Doctor Dinh Tuan Vinh, ICU Department, Tam Anh General Hospital in Ho Chi Minh City, said that anaphylaxis is a serious allergic event. If not detected and treated promptly, the patient will have circulatory failure, respiratory failure, and death. In the case of Ms. Linh, she asked her family to take her to the hospital soon, the emergency doctor promptly escaped the danger.
More than 70% of manifestations of anaphylaxis show through the skin
According to Dr. Trong, when exposed to a foreign substance, the body’s immune system will produce many specific antibodies against this foreign substance. However, in many cases, the body overreacts, causing the immune system to start a chain of chemical reactions that lead to anaphylaxis. The body can react anaphylactically to many agents. Experts divided into 5 main types of agents: drugs (antibiotics, anti-inflammatory pain relievers, muscle relaxants, anesthetics, anesthetics,…), food (eggs, seafood, beef,… ), animal venom (bee venom, insect venom,…), protein (anti-tetanus toxin, blood transfusion,…), latex (the body overreacts to certain proteins in latex). natural latex in gloves, condoms, medical devices, etc.).
Overall, more than 70% of cases of anaphylaxis develop symptoms through the skin. Because anaphylaxis is an acute allergic reaction, it is necessary to take the patient to the emergency room for anaphylaxis immediately. If not diagnosed and treated promptly, the patient quickly dies; or fall into a persistent drop in blood pressure.
Food or drug-induced anaphylaxis usually begins within an hour. Meanwhile, anaphylaxis due to drug injection only takes a few minutes, even seconds, the patient’s heart stops. Whether you have anaphylaxis by eating, drinking or injecting, from the onset of symptoms, blood pressure drops very quickly.
Medical staff monitor patient’s fluids. Photo: Tam Anh General Hospital in Ho Chi Minh City
Dr. Trong said there are 4 levels of anaphylaxis:
Level 1: patients only have skin symptoms such as urticaria, itching, redness…, about 20% of cases of anaphylaxis have no symptoms in the skin or mucous membranes, others have signs of low blood pressure.
Grade 2: the patient has angioedema, shortness of breath or shallow rapid breathing, chest tightness, abdominal pain, diarrhea, tachycardia or arrhythmia.
Level 3: the patient is in critical condition with rapid breathing, cyanosis, dyspnea, convulsions, small rapid pulse and low blood pressure.
Grade 4: circulatory arrest, respiratory arrest or late complications such as glomerulonephritis, allergic myocarditis, multi-organ failure leading to death.
Dr. Trong recommends that people as soon as they see abnormal signs in their body should go to hospitals for timely emergency treatment, to avoid putting their lives in danger. Many cases after eating and drinking, stomach pain, vomiting, urticaria, … but thinking of allergies, digestive disorders or being hit by the wind, you should buy yourself medicine, shave the wind at home, leading to danger. At this time, the patient had fallen into grade 3-4 anaphylaxis with complications of glomerulonephritis, myocarditis, multi-organ failure,… making life saving and treatment difficult.
* The character name was changed.
Nguyen Tram
at Blogtuan.info – Source: vnexpress.net – Read the original article here
