Reactions 1704, p288 - 2 Jun 2018 Anaphylactic shock: case report A 76-year-old woman developed anaphylactic shock during treatment with oxaliplatin for recurrent colon cancer [route not stated]. The woman, who was diagnosed with recurrent colon cancer stage IIIa, started receiving treatment with oxaliplatin 130 mg/m , bevacizumab and capecitabine [Xelox]. No adverse events were noted till the completion of six courses. During the seventh course (after three months of drug holiday), nine minutes following oxaliplatin initiation, she developed nausea and started feeling poorly. The woman’s oxaliplatin treatment was immediately discontinued and oxygen was initiated. Three minutes later, she groaned and lost consciousness. She developed cardiopulmonary arrest and cardiopulmonary resuscitation was started. She received adrenaline. Her heart beat restarted and she was subsequently admitted to the ICU. A diagnosis of anaphylactic shock was made. She was treated with unspecified steroids, chlorphenamine and famotidine. The following day, she was extubated and was discharged on day 8 of illness. After 42 days of the cardiopulmonary arrest, the chemotherapy was re-initiated with bevacizumab and capecitabine. She achieved a complete remission with no further recurrence. Author comment: [Oxaliplatin] is used widely in chemotherapy for colon cancer; however, typical side effects are reported as. . .allergic reactions. Cardiopulmonary arrest due to anaphylactic shock occurred and she was resuscitated. Naito A, et al. A Case of Recurrent Colon Cancer Successfully Treated with Capecitabine plus Bevacizumab. Gan to Kagaku Ryoho 44: 1811-1813, No. 12, Nov 2017. Available from: URL: https://www.ncbi.nlm.nih.gov/pubmed/29394784 [Japanese; Summarised from a translation] - Japan 803323922 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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