A Case Report of Angioedema and Anaphylactic Shock Induced by Ingestion of Polyethylene Glycol.
Introduction
We report one of few documented cases of a severe anaphylactic reaction with angioedema to polyethylene glycol (PEG).


Case Report
The patient presented 30 minutes after onset of his symptoms and quickly developed hypoxia and hypotension refractory to intramuscular epinephrine, intravenous fluids, methylprednisolone, and supplemental oxygen via non-rebreather mask. He ultimately required intubation, an epinephrine infusion, and admission to the medical intensive care unit.


Discussion
This case depicts a clinical reaction to PEG, a medication rarely implicated in severe anaphylaxis or angioedema.


Conclusion
The allergenic potential of PEG-containing products should be raised, and providers should have a heightened awareness of these potential side effects.
['Rossi|Amy|A|', 'Osborn|Lesley|L|']
angioedema Polyethylene glycol PEG allergic