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Electrocardiographic alterations and raised procalcitonin levels during anaphylactic shock.

Antonio MirijelloMaria Maddalena D'ErricoPamela PiscitelliSalvatore De Cosmo
Published in: BMJ case reports (2020)
Anaphylaxis represents a systemic disease occurring after the exposure to an allergen. Drugs for the treatment of anaphylactic reactions (ie, corticosteroids and adrenalin) could induce autonomic alterations, such as tachycardia, hyperthermia, tachypnoea and leucocytosis. We describe the case of a 52-year-old woman presenting with a severe allergic reaction after the ingestion of amoxicillin-clavulanate. The occurrence of ECG alterations, laboratory abnormalities and procalcitonin (PCT) elevation will be discussed with particular emphasis on the possible misleading role of PCT during anaphylactic shock.
Keyphrases
  • heart rate variability
  • heart rate
  • risk assessment
  • left ventricular
  • drug induced
  • heart failure
  • blood pressure
  • atopic dermatitis