[Anaphylactic shock following administration of an infusion solution containing fructose?].

Abstract

A sixty-seven year old female patient who received post-operatively an i.v. infusion of Sterofundin I, suffered an anaphylactic shock with cyanosis, dyspnoea and progressive hypotension. Over a period of 90 min there were ECG changes similar to acute posterior myocardial infarction and arrhythmias (total AV-block with high compensative rate). This could be due to circulatory shock but more probably to a transitory coronary spasm. Clinical signs and symptoms exclude a hereditary fructose intolerance because of case history and blood results as well as complications described in the literature due to low dosage of fructose. An intracutaneous test confirmed a hypersensitivity of fructose-containing i.v. infusion.

• Authors: P Baumgartl, K Pinsker
• Journal: Infusionstherapie (Basel, Switzerland) (Infusionstherapie) Vol. 16 Issue 1 Pg. 45-8 (Feb 1989) ISSN: 1011-6966 [Print] Switzerland
• Vernacular Title: Anaphylaktischer Schock nach Verabreichung einer fruktosehaltigen Infusionslösung?
• PMID: 2714865 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Fructose

Topics

• Aged
• Anaphylaxis (etiology)
• Electrocardiography
• Female
• Fructose (administration & dosage, adverse effects)
• Humans
• Hysterectomy
• Hysterectomy, Vaginal
• Infusions, Intravenous
• Intradermal Tests
• Postoperative Complications (etiology)