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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF AMIODARONE INDUCED ANAPHYLACTIC SHOCK
Author
Nishanth Rajanna*, Pradeep M. Venkategowda, Sanu C Anand, Ashwini Murthy
Email
drpradeepmarur@gmail.com
keyword
Amiodarone, Atrial fibrillation, Anaphylaxis, Arrhythmia.
Abstract
This is a case report of 40 years old male who came to our hospital emergency room (ER) with history of palpitations. On examination patient had pulse rate of 142 beats per minute, irregularly irregular with low volume, ECG (electrocardiogram) showed features of atrial fibrillation. Patient was diagnosed to having lone atrial fibrillation with fast ventricular rate. Amiodarone 5mg/ kg IV over 30 minutes was started. After 10 minutes of initiation the ECG showed sinus rhythm but patient had anaphylactic reaction. Blood pressure was not recordable. Diagnosed to be having Amiodarone induced anaphylaxis, hence Amiodarone infusion was stopped. Managed with intravenous fluids, subcutaneous adrenalin, hydrocortisone and noradrenalin infusion. Patient recovered well and discharged home on third day. This case report highlights about a rare case of Amiodarone induced anaphylaxis.
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