
Colon Ischaemia Induced by Amoxicillin-related Anaphylactic Shock
Author(s) -
Nuno Melo,
Isabel Hipólito,
Joana Pereira,
Pedro Cunha,
Jorge Almeida
Publication year - 2021
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2021_002640
Subject(s) - medicine , anaphylaxis , gastrointestinal tract , ischemia , shock (circulatory) , amoxicillin , gastroenterology , ischemic colitis , colitis , anesthesia , immunology , allergy , antibiotics , biology , microbiology and biotechnology
Colon ischaemia is the most frequent type of ischaemia of the digestive tract. It is more common among the elderly, especially patients with haemodynamic disturbance. In young patients, it is associated with particular drugs such as oral contraceptives and ergotamine derivatives. Anaphylaxis is characterized by acute onset and skin and mucosal involvement together with cardiovascular involvement. Gastrointestinal symptoms are common in anaphylaxis, but gastrointestinal bleeding and acute colon ischaemia are rarely described. Here, we present the case of a 52-year-old woman with acute ischaemic colitis associated with an anaphylactic reaction to amoxicillin.