Severe @entity2021 without @entity1910 in a case of unknown XXXX and review of the literature.

@entity1 @entity11540 @entity1910 @entity566 @entity1425 @entity2144 @entity891 @entity112 @entity5143 @entity110 @entity2021
We describe a case of severe @entity2021 without @entity1910 in an 8-year-old @entity1 who was undergoing elective surgery for an ileostomy. The @entity1 had a history of four anorectal operations in the newborn period, but no history of @entity566 . Sudden, profound @entity5143 and @entity891 occurred 30 min after the beginning of the operation. No signs of @entity1910 or @entity110 were seen. The @entity1 was resuscitated successfully and remained ventilated for 25 h. During this time, he needed @entity1425 in dosages of 0.3-0.05 microg.kg-1.min-1. Radioallergosorbent (RAST) tests for the @entity1 were positive Cap Class 3 and 4, and specific immunoglobulin E was highly positive, suggesting a @entity2144 as the cause of the @entity2021 . @entity11540 was negative. Eleven days later, a further operation was performed with a strict latex-free protocol in the presence of @entity112 1 and 2 receptor antagonists. On this occasion, the intraoperative course was uneventful. Incidence of anaphylactic reactions, prevalence of latex sensitization, special risk groups and management are discussed.
