Sensitivity test for crystalline penicillin was positive. The necessity of preventing iatrogenic drug administration errors is also discussed.Ī 58-year-old diabetic woman for twelve years was managed in the surgical ward of our institution for lower limb cellulitis. It is important to note that high index of suspicion and early diagnosis are paramount in avoiding any acute or long-lasting effects following such an episode. Special emphasis is given to the management of both anaphylaxis-based and adrenaline induced pulmonary oedema. The possible mechanisms of the pulmonary oedema in each of these instances are discussed in detail in this paper. Similarly, the treatment of choice in anaphylactic shock, epinephrine, is also implicated in non-cardiogenic pulmonary oedema and ARDS, although the latter is rare and associated with supratherapeutic doses in general. Anaphylaxis, a relatively common life threatening medical emergency, is known to cause acute respiratory distress syndrome (ARDS).
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