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...

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Main Authors: Rafey Rehman, Muhammad Osto, Hassan Akram, Adil Khan
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
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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.
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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
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AT muhammadosto ischemicstrokesecondarytobleachanaphylaxis
AT hassanakram ischemicstrokesecondarytobleachanaphylaxis
AT adilkhan ischemicstrokesecondarytobleachanaphylaxis