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Published on: October 14, 2014
Anaphylactic shock after aprotinin reexposure: time course of aprotinin-specific antibodies
A M Scheule1, M J Jurmann, H P Wendel
1Department of Surgery, Eberhard-Karls-University, Tuebingen, Germany.
Abstract:
We report a case of severe anaphylactic shock during a cardiac operation that occurred as a consequence of aprotinin readministration in the presence of preformed aprotinin-specific antibodies. Both immunoglobulin G (3 hours) and immunoglobulin E (5 minutes) antibody levels dropped early after the clinical event. Despite their possibly limited clinical significance, we still recommend the conductance of specific antibody screening tests before readministration of aprotinin.
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