A case of anaphylactic shock caused by local injection of pingyangmycin

Abstract

To report a case of anaphylactic shock caused by the treatment of plantar warts with local injection of pingyangmycin and review the relevant literature. A 30-year-old male had two horny growths on the front sole for 2 months and was diagnosed with plantar wart. Patient was healthy without a history of allergy to foods or drugs. He was treated with local injection of Pingyangmycin in the interval of 3~4 weeks at our hospital in May 2021. After three treatments, the patient did not continue the treatment because of the disappearance of the lesions. In July 2022, plantar wart recurred and the patient received the injection of pingyangmycin again. However, about 5 minutes after the fifth injection, patient developed symptoms of anaphylactic shock such as blurred vision, dyspnea, and blood pressure dropping. Dexamethasone (5 mg IV) and epinephrine (0.5 mg IM) were given immediately. About 1 hour later, the symptoms were gradually relieved and his vital signs were stable.

Keywords

• pingyangmycin
• local injection
• anaphylactic shock