Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.

Ferric carboxymaltose (FCM) is a non-dextran iron preparation used for intravenous treatment of iron deficiency anaemia (IDA) in adult patients with intolerance or poor response to oral iron therapy. Acute hypersensitivity reactions (HSRs) during iron infusions are very rare but can be life-threaten...

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Main Authors: Neeraj Kumar, Preeti Bala Gautam, Sarfaraz Ahmad, Danish Qutub, Indira Prasad
Format: Article
Language:English
Published: Towarzystwo Pomocy Doraźnej 2023-03-01
Series:Critical Care Innovations
Subjects:
Online Access:https://www.irdim.net/cci/6(1)41-45.html
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author Neeraj Kumar
Preeti Bala Gautam
Sarfaraz Ahmad
Danish Qutub
Indira Prasad
author_facet Neeraj Kumar
Preeti Bala Gautam
Sarfaraz Ahmad
Danish Qutub
Indira Prasad
author_sort Neeraj Kumar
collection DOAJ
description Ferric carboxymaltose (FCM) is a non-dextran iron preparation used for intravenous treatment of iron deficiency anaemia (IDA) in adult patients with intolerance or poor response to oral iron therapy. Acute hypersensitivity reactions (HSRs) during iron infusions are very rare but can be life-threatening even after receiving a prior test dose. Here, we report a case of 42 years old female patient who underwent total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. On the next postoperative day she received an injection of ferric carboxy maltose. She was diagnosed with IDA. She presented with the picture of an adverse drug reaction due to injection FCM. She was managed with oxygen, vasopressors, antihistaminics, intravenous fluids and, corticosteroids. She recovered well within 24 hours of intensive care unit admission following this adverse drug reaction. So, careful and precise observation is required in management of adverse reaction following ferric carboxymaltose and prompt recognition and treatment based on severity is warranted.
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spelling doaj.art-65de166072924373b9b4ffc67da86c0f2023-04-04T18:58:40ZengTowarzystwo Pomocy DoraźnejCritical Care Innovations2545-25332023-03-0161414510.32114/CCI.2023.6.1.41.45Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.Neeraj Kumarhttps://orcid.org/0000-0002-9161-7000Preeti Bala Gautamhttps://orcid.org/0000-0002-7252-1097Sarfaraz Ahmadhttps://orcid.org/0000-0002-1339-9482Danish Qutubhttps://orcid.org/0000-0001-6714-6408Indira Prasadhttps://orcid.org/0000-0001-5881-7855Ferric carboxymaltose (FCM) is a non-dextran iron preparation used for intravenous treatment of iron deficiency anaemia (IDA) in adult patients with intolerance or poor response to oral iron therapy. Acute hypersensitivity reactions (HSRs) during iron infusions are very rare but can be life-threatening even after receiving a prior test dose. Here, we report a case of 42 years old female patient who underwent total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. On the next postoperative day she received an injection of ferric carboxy maltose. She was diagnosed with IDA. She presented with the picture of an adverse drug reaction due to injection FCM. She was managed with oxygen, vasopressors, antihistaminics, intravenous fluids and, corticosteroids. She recovered well within 24 hours of intensive care unit admission following this adverse drug reaction. So, careful and precise observation is required in management of adverse reaction following ferric carboxymaltose and prompt recognition and treatment based on severity is warranted.https://www.irdim.net/cci/6(1)41-45.htmlferric carboxy maltosehypersensitivity reactionintensive care unit
spellingShingle Neeraj Kumar
Preeti Bala Gautam
Sarfaraz Ahmad
Danish Qutub
Indira Prasad
Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
Critical Care Innovations
ferric carboxy maltose
hypersensitivity reaction
intensive care unit
title Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
title_full Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
title_fullStr Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
title_full_unstemmed Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
title_short Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report.
title_sort acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia a case report
topic ferric carboxy maltose
hypersensitivity reaction
intensive care unit
url https://www.irdim.net/cci/6(1)41-45.html
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