Article
Non-IgE-Dependent Hypersensitivity to Rocuronium Reversed by Sugammadex: Report of Three Cases and Hypothesis on the Underlying Mechanism.
International archives of allergy and immunology - 1 Jan 2016
Spoerl David, D'Incau Stéphanie, Roux-Lombard Pascale, Harr Thomas, Czarnetzki Christoph
Abstract excerpt
We present 3 cases of pseudoallergic (anaphylactoid) reactions to perioperatively administered rocuronium, which rapidly resolved after sugammadex injection. Allergological workup showed no evidence for immediate-type hypersensitivity to the drugs used for anesthesia, including rocuronium. However, rocuronium induced an irritative reaction in skin tests in all 3 patients and in 3 healthy individuals. This...
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