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(Chest. 1998;113:1417-1419.)
© 1998 American College of Chest Physicians

Coronary Artery Spasm Complicating Anaphylaxis Secondary To Skin Disinfectant

Viviane M. A. Conraads MD1; Philippe G. Jorens MD2; Didier G. Ebo MD3; Marc J. Claeys MD1; Johan M. Bosmans MD1; and Christiaan J. Vrints MD1

1 From the Department of Cardiology, University Hospital of Antwerp, Belgium
2 From the Department of Intensive Care, University Hospital of Antwerp, Belgium
3 From the Departments of Immunology, Allergology and Rheumatology, University Hospital of Antwerp, Belgium

We report a patient in whom presumed vasospasm of an angiographically normal coronary artery led to severe transmural myocardial ischemia. To our knowledge, this is the first case in which an allergic reaction to locally applied chlorhexidine caused such a severe reaction.

Key Words: anaphylaxis • chlorhexidine • coronary • vasospasm

Submitted on April 24, 1997
Accepted on September 24, 1997




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Copyright © 1998 by the American College of Chest Physicians.