Ischemic Stroke Secondary to Bleach Anaphylaxis
Anaphylaxis is a severe allergic reaction characterized by life-threatening airway, breathing, and hemostatic problems. There has been an established association between cerebral infarction following wasp or bee sting in the literature. A 54-year-old female was admitted to the hospital for acute an...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2022-06-01
|
Series: | Case Reports in Clinical Practice |
Subjects: | |
Online Access: | https://crcp.tums.ac.ir/index.php/crcp/article/view/489 |
_version_ | 1818205275030552576 |
---|---|
author | Rafey Rehman Muhammad Osto Hassan Akram Adil Khan |
author_facet | Rafey Rehman Muhammad Osto Hassan Akram Adil Khan |
author_sort | Rafey Rehman |
collection | DOAJ |
description |
Anaphylaxis is a severe allergic reaction characterized by life-threatening airway, breathing, and hemostatic problems. There has been an established association between cerebral infarction following wasp or bee sting in the literature. A 54-year-old female was admitted to the hospital for acute anaphylaxis due to bleach exposure and developed a new-onset left-sided weakness. Head computed tomography demonstrated midline frontal calcifications but was negative for acute ischemia or hemorrhage. Magnetic resonance imaging multifocal infarcts of the internal capsule’s right temporal and posterior limb. The patient was started on aspirin 81 mg, atorvastatin 40 mg daily for secondary prevention of stroke, and physical, occupational, and speech therapies. Although exceedingly rare, decreased cerebral blood flow may occur secondary to anaphylaxis due to an abrupt drop in blood pressure leading to ischemic injury. The case characterizes a unique association between bleach anaphylaxis and ischemic stroke, which has not been previously reported.
|
first_indexed | 2024-12-12T03:54:32Z |
format | Article |
id | doaj.art-ff361f16024746728a5ff293d01394d5 |
institution | Directory Open Access Journal |
issn | 2538-2683 2538-2691 |
language | English |
last_indexed | 2024-12-12T03:54:32Z |
publishDate | 2022-06-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Case Reports in Clinical Practice |
spelling | doaj.art-ff361f16024746728a5ff293d01394d52022-12-22T00:39:18ZengTehran University of Medical SciencesCase Reports in Clinical Practice2538-26832538-26912022-06-017110.18502/crcp.v7i1.9629Ischemic Stroke Secondary to Bleach AnaphylaxisRafey Rehman0Muhammad Osto1Hassan Akram2Adil Khan3Department of Neurology, School of Medicine, Oakland University William Beaumont, Rochester, United States.Department of Neurology, School of Medicine, Wayne State University, Detroit, United States.Oakland University William Beaumont School of MedicineDepartment of Neurology, School of Medicine, Oakland University William Beaumont, Rochester, United States. Anaphylaxis is a severe allergic reaction characterized by life-threatening airway, breathing, and hemostatic problems. There has been an established association between cerebral infarction following wasp or bee sting in the literature. A 54-year-old female was admitted to the hospital for acute anaphylaxis due to bleach exposure and developed a new-onset left-sided weakness. Head computed tomography demonstrated midline frontal calcifications but was negative for acute ischemia or hemorrhage. Magnetic resonance imaging multifocal infarcts of the internal capsule’s right temporal and posterior limb. The patient was started on aspirin 81 mg, atorvastatin 40 mg daily for secondary prevention of stroke, and physical, occupational, and speech therapies. Although exceedingly rare, decreased cerebral blood flow may occur secondary to anaphylaxis due to an abrupt drop in blood pressure leading to ischemic injury. The case characterizes a unique association between bleach anaphylaxis and ischemic stroke, which has not been previously reported. https://crcp.tums.ac.ir/index.php/crcp/article/view/489Ischemic StrokeAnaphylaxisBleach exposureCerebral Infarct |
spellingShingle | Rafey Rehman Muhammad Osto Hassan Akram Adil Khan Ischemic Stroke Secondary to Bleach Anaphylaxis Case Reports in Clinical Practice Ischemic Stroke Anaphylaxis Bleach exposure Cerebral Infarct |
title | Ischemic Stroke Secondary to Bleach Anaphylaxis |
title_full | Ischemic Stroke Secondary to Bleach Anaphylaxis |
title_fullStr | Ischemic Stroke Secondary to Bleach Anaphylaxis |
title_full_unstemmed | Ischemic Stroke Secondary to Bleach Anaphylaxis |
title_short | Ischemic Stroke Secondary to Bleach Anaphylaxis |
title_sort | ischemic stroke secondary to bleach anaphylaxis |
topic | Ischemic Stroke Anaphylaxis Bleach exposure Cerebral Infarct |
url | https://crcp.tums.ac.ir/index.php/crcp/article/view/489 |
work_keys_str_mv | AT rafeyrehman ischemicstrokesecondarytobleachanaphylaxis AT muhammadosto ischemicstrokesecondarytobleachanaphylaxis AT hassanakram ischemicstrokesecondarytobleachanaphylaxis AT adilkhan ischemicstrokesecondarytobleachanaphylaxis |