真性リドカインアレルギーが疑われた患者の抜歯経験

DOI
  • 中村 裕介
    砂川市立病院歯科口腔外科 北海道大学大学院歯学研究院口腔病態学講座口腔診断内科学教室
  • 佐藤 淳
    北海道大学大学院歯学研究院口腔病態学講座口腔診断内科学教室
  • 和田 麻友美
    北海道大学大学院歯学研究院口腔病態学講座口腔診断内科学教室
  • 北川 善政
    北海道大学大学院歯学研究院口腔病態学講座口腔診断内科学教室

書誌事項

タイトル別名
  • Extraction of a wisdom tooth in patient with possible true lidocaine allergy: a case report

この論文をさがす

抄録

True allergy to local anesthetics is rare. We experienced a case with possible true allergy to lidocaine, who underwent extraction of a maxillary wisdom tooth under local anesthesia. We report the summary with a consideration of the literature. A 27-year-old man visited our department with the chief complaint of uncomfortable feeling around the right maxillary wisdom tooth. His past medical history was significant for many drug allergies, including lidocaine products. Under a diagnosis of partial impacted and pericoronitis of the right maxillary wisdom tooth, we planned to extract the tooth. We requested a medical examination and skin test for local anesthetics to a dermatologist in our hospital. A prick test revealed positive reaction to a lidocaine product （1％ xylocaine®）, but negative reaction to a propitocaine product （3％ citanest-octapressin®）. We decided to use the propitocaine product as a local anesthetic, and to extract the tooth under intravenous （IV） sedation to remove his psychological stress. At the beginning of the extraction, we injected 0.2ml of the propitocaine product in the right maxillary gingiva as a challenge test for local anesthetic. After confirming no allergic reaction, we added the local anesthetic and removed the tooth easily. After the extraction, we carefully monitored his condition under hospitalization for one night. His postoperative course was uneventful.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ