Dermal reaction and bigeminal premature ventricular contractions due to neostigmine: a case report
2011

Case Report of Allergic Reaction to Neostigmine

Sample size: 1 publication Evidence: low

Author Information

Author(s): Yousefshahi Fardin, Anbarafshan Mohammad, Khashayar Patricia

Primary Institution: Tehran University of Medical Sciences

Hypothesis

Can neostigmine cause severe allergic reactions such as urticaria and bigeminal premature ventricular contractions?

Conclusion

This case report highlights a rare allergic reaction to neostigmine, emphasizing the need for caution and preparedness for resuscitation when administering this drug.

Supporting Evidence

  • The patient developed a 5 mm urticarial lesion after receiving neostigmine.
  • Bigeminal premature ventricular contractions were noted at the same time as the urticarial reaction.
  • No previous allergic reactions were reported in the patient's medical history.

Takeaway

A woman had a bad reaction after getting a medicine called neostigmine, which made her heart act funny and gave her hives. This shows that even common medicines can sometimes cause serious problems.

Methodology

The case of a 23-year-old woman who developed urticaria and bigeminal PVCs after receiving neostigmine during surgery was reported and analyzed.

Limitations

The patient did not agree to undergo certain additional tests that could have provided more information.

Participant Demographics

23-year-old Persian woman, G1Ab0L0, weighing 60 kg.

Digital Object Identifier (DOI)

10.1186/1752-1947-5-83

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