[Presumed anaphylactic shock after infusion of Lipofundin]

A case of anaphylactic shock in a 45 year old man with Hodgkin's disease following Lipofundin infusion is described. Lipofundin is a soybean oil based preparation for parenteral nutrition. Allergic reactions to lipid infusions are only very seldom described, but it is important to be aware of the possibility of anaphylaxis, as this case-story demonstrates. Allergy to soy-proteins is well-known, whereas soybean oil is not allergenic in soybean-sensitive individuals. Soy-protein, in small quantities, can be detected in soy-oil. A possible connection between the patient's reaction and soy-allergy is discussed.