Cardiac allergy (Kounis Syndrome) and loss of motor neural sensaton during local anesthetic skin test

Kounis Syndrome After Lidocaine Injection

“…Fourth point: You refer to Kounis syndrome after a skin test with lidocaine and articaine. In that clinical report [3], neither lidocaine nor articaine were confirmed as the trigger, meaning that articaine could be the trigger (or not). In our clinical report, the skin test results were positive (with a mild and extensivelocal reaction), as were those of the basophil activation test.…”

Kounis Syndrome Induced by Lidocaine

“…Fourth, the case is reported as the first case of Kounis syndrome after lidocaine injection. However, as mentioned [1], a case of Kounis syndrome with a lidocaine intradermal test has been reported [4]. Considering that the intradermal test is also performed by injection into the skin, the case in the article is not technically the first case induced by lidocaine injection.…”

Kounis Syndrome After Lidocaine Use

“…Although medications are the first cause of this condition, (with antibiotics as the main aetiology [1]), other possible causes must not be ignored [2,3], including excipients of lidocaine J Investig Allergol Clin Immunol 2023; Vol. 33 (4) © 2022 Esmon Publicidad doi: 10.18176/jiaci.0876 such as sodium carboxymethylcellulose, methylparaben and propylparaben, especially in cases of no previous allergic reactions to food or medication. Here we are describing the first reported case of KS after lidocaine reception, and the alternatives drugs we proposed An episode has been reported previously in the literature after IDT with lidocaine and articaine [4].…”

“…33 (4) © 2022 Esmon Publicidad doi: 10.18176/jiaci.0876 such as sodium carboxymethylcellulose, methylparaben and propylparaben, especially in cases of no previous allergic reactions to food or medication. Here we are describing the first reported case of KS after lidocaine reception, and the alternatives drugs we proposed An episode has been reported previously in the literature after IDT with lidocaine and articaine [4].…”