Anaphylaxis caused by butylscopolamine bromide: a case report

Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopi...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Shiraishi, Toshie [verfasserIn] Nakamura, Mitsuyo [verfasserIn] Horiuchi, Tatsuo [verfasserIn] Takazawa, Tomonori [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Butylscopolamine Anaphylaxis skin test

Übergeordnetes Werk:	Enthalten in: JA clinical reports - Berlin : Springer, 2015, 6(2020), 1 vom: 08. Apr.
Übergeordnetes Werk:	volume:6 ; year:2020 ; number:1 ; day:08 ; month:04

Links:	Volltext

DOI / URN:	10.1186/s40981-020-00331-w

Katalog-ID:	SPR039355683

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520			\|a Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis.
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allfields	10.1186/s40981-020-00331-w doi (DE-627)SPR039355683 (SPR)s40981-020-00331-w-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Shiraishi, Toshie verfasserin aut Anaphylaxis caused by butylscopolamine bromide: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis. Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213 Nakamura, Mitsuyo verfasserin aut Horiuchi, Tatsuo verfasserin aut Takazawa, Tomonori verfasserin aut Enthalten in JA clinical reports Berlin : Springer, 2015 6(2020), 1 vom: 08. Apr. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:6 year:2020 number:1 day:08 month:04 https://dx.doi.org/10.1186/s40981-020-00331-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 1 08 04
spelling	10.1186/s40981-020-00331-w doi (DE-627)SPR039355683 (SPR)s40981-020-00331-w-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Shiraishi, Toshie verfasserin aut Anaphylaxis caused by butylscopolamine bromide: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis. Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213 Nakamura, Mitsuyo verfasserin aut Horiuchi, Tatsuo verfasserin aut Takazawa, Tomonori verfasserin aut Enthalten in JA clinical reports Berlin : Springer, 2015 6(2020), 1 vom: 08. Apr. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:6 year:2020 number:1 day:08 month:04 https://dx.doi.org/10.1186/s40981-020-00331-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 1 08 04
allfields_unstemmed	10.1186/s40981-020-00331-w doi (DE-627)SPR039355683 (SPR)s40981-020-00331-w-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Shiraishi, Toshie verfasserin aut Anaphylaxis caused by butylscopolamine bromide: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis. Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213 Nakamura, Mitsuyo verfasserin aut Horiuchi, Tatsuo verfasserin aut Takazawa, Tomonori verfasserin aut Enthalten in JA clinical reports Berlin : Springer, 2015 6(2020), 1 vom: 08. Apr. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:6 year:2020 number:1 day:08 month:04 https://dx.doi.org/10.1186/s40981-020-00331-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 1 08 04
allfieldsGer	10.1186/s40981-020-00331-w doi (DE-627)SPR039355683 (SPR)s40981-020-00331-w-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Shiraishi, Toshie verfasserin aut Anaphylaxis caused by butylscopolamine bromide: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis. Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213 Nakamura, Mitsuyo verfasserin aut Horiuchi, Tatsuo verfasserin aut Takazawa, Tomonori verfasserin aut Enthalten in JA clinical reports Berlin : Springer, 2015 6(2020), 1 vom: 08. Apr. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:6 year:2020 number:1 day:08 month:04 https://dx.doi.org/10.1186/s40981-020-00331-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 1 08 04
allfieldsSound	10.1186/s40981-020-00331-w doi (DE-627)SPR039355683 (SPR)s40981-020-00331-w-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Shiraishi, Toshie verfasserin aut Anaphylaxis caused by butylscopolamine bromide: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis. Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213 Nakamura, Mitsuyo verfasserin aut Horiuchi, Tatsuo verfasserin aut Takazawa, Tomonori verfasserin aut Enthalten in JA clinical reports Berlin : Springer, 2015 6(2020), 1 vom: 08. Apr. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:6 year:2020 number:1 day:08 month:04 https://dx.doi.org/10.1186/s40981-020-00331-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 1 08 04
language	English
source	Enthalten in JA clinical reports 6(2020), 1 vom: 08. Apr. volume:6 year:2020 number:1 day:08 month:04
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topic_facet	Butylscopolamine Anaphylaxis skin test
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We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. 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author	Shiraishi, Toshie
spellingShingle	Shiraishi, Toshie ddc 610 misc Butylscopolamine misc Anaphylaxis misc skin test Anaphylaxis caused by butylscopolamine bromide: a case report
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topic_title	610 ASE Anaphylaxis caused by butylscopolamine bromide: a case report Butylscopolamine (dpeaa)DE-He213 Anaphylaxis (dpeaa)DE-He213 skin test (dpeaa)DE-He213
topic	ddc 610 misc Butylscopolamine misc Anaphylaxis misc skin test
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title	Anaphylaxis caused by butylscopolamine bromide: a case report
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title_full	Anaphylaxis caused by butylscopolamine bromide: a case report
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author_browse	Shiraishi, Toshie Nakamura, Mitsuyo Horiuchi, Tatsuo Takazawa, Tomonori
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title_sort	anaphylaxis caused by butylscopolamine bromide: a case report
title_auth	Anaphylaxis caused by butylscopolamine bromide: a case report
abstract	Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis.
abstractGer	Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis.
abstract_unstemmed	Background There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopolamine. Case presentation A 63-year-old woman underwent gastrointestinal endoscopic examination. She developed facial cyanosis and hypoxia after intravenous administration of butylscopolamine 10 mg, and her blood pressure was unmeasurable. Her hemodynamic condition recovered after a total of 0.6 mg adrenaline and bolus administration of 100 mg hydrocortisone. One hour after the onset of hypotension, both plasma histamine and serum tryptase were remarkably elevated to 271.7 nmol/L and 174 μg/L, respectively. Skin tests performed 47 days after anaphylaxis showed a positive result only for butylscopolamine among the exposed agents, which was confirmed by basophil activation tests using CD203c and CD63 as markers. Conclusion Butylscopolamine has the potential to cause severe anaphylaxis; hence, identification of the causative agent is important to prevent recurrence of anaphylaxis.
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title_short	Anaphylaxis caused by butylscopolamine bromide: a case report
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author2	Nakamura, Mitsuyo Horiuchi, Tatsuo Takazawa, Tomonori
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up_date	2024-07-03T23:30:34.989Z
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score	7.399288

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Anaphylaxis caused by butylscopolamine bromide: a case report

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