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Document Details :

Title: Anaphylaxis to an urethral lubricant: chlorhexidine as the 'hidden' allergen
Author(s): EBO DG, BRIDTS CH, STEVENS WJ
Journal: Acta Clinica Belgica
Volume: 59    Issue: 6   Date: 2004   
Pages: 358-360
DOI: 10.2143/ACB.59.6.2050426

Abstract :






We report on a severe allergic reaction during urethral catheterisation, initially erroneously attributed to natural rubber latex (NRL). However, the negative investigations for latex, the uneventful further applications of NRL, the positive skin test and basophil activation test for chlorhexidine strongly support diagnosis of chlorhexidine anaphylaxis. This case illustrates that it is not widely appreciated that “innocent” products such as urethral lubricants may elicit serious life-threatening reactions. Careful inspection of the medical records is once again re-emphasised to be mandatory in order to avert subsequent anaphylaxis.