Allergy to lactated ringer solution-an unusual case presentation.

Area of Science:

• Anesthesiology
• Immunology

Background:

• Allergic reactions can occur at any stage of anesthesia, including induction, maintenance, and post-anesthesia care.
• The perioperative period sees a high incidence of allergic reactions due to concurrent drug administration.
• Rapid diagnosis and treatment are crucial as anaphylaxis can be fatal.

Observation:

• A case of allergic reaction was observed during the induction phase of anesthesia.
• The reaction occurred subsequent to the administration of an intravenous infusion of lactated Ringer solution.

Findings:

• Lactated Ringer solution, commonly used in anesthesia, can trigger allergic reactions.
• This case underscores the importance of considering all administered substances, including intravenous fluids, as potential allergens.

Implications:

• Anesthesiologists should maintain a high index of suspicion for allergic reactions to intravenous fluids.
• Further investigation into the immunogenicity of lactated Ringer solution may be warranted.
• This case contributes to the understanding of rare adverse drug events in anesthesiology.