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Urticaria After Lidocaine Use for Pecto-Intercostal Nerve Block
Vats T Ambai1,2, Neel Atawala3, Arun Kalava4
1Department of Anesthesiology, Emory University School of Medicine, Atlanta, USA.
Abstract:
Urticaria within one hour of lidocaine injection is a sign of type I (immediate) hypersensitivity to lidocaine, yet most patients suspected of having a lidocaine allergy do not exhibit urticaria. Aside from being a sign of a rare lidocaine allergy, urticaria can also be a symptom of COVID-19. COVID-19 patients who experience urticaria after receiving lidocaine require careful evaluation to determine the cause. Here, we present a case of a patient exhibiting urticaria one hour after a lidocaine injection for the Pecto-intercostal nerve block to treat COVID-19-induced costochondritis.
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