Latex allergy anaphylaxis in a spina bifida patient with a pressure ulcer

At a Memphis, Tenn., children's hospital, latex-free surgery is mandated for patients with spina bifida or for those who have had multiple surgeries to correct congenital urinary anomalies. Even in the absence of a positive clinical history, both categories of patients are presumed to have a latex allergy or sensitivity. This case report illustrates the severe anaphylactic reaction that may occur with exposure to latex gloves or glove powder that transfers the antigen. The increasing incidence of latex rubber allergy for patients and health care workers is reviewed. Screening for patients at risk for allergy is outlined. These allergic patients can undergo safe operations if precautions are undertaken to avoid latex exposure. Precautions must also be initiated and enforced throughout the hospital for treatment of the patient in the pre- and post-operative period.