An Unusual Complication with Use of Lignocaine: A Case Report
Published: June 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6064
Vikas S. Meshram, Priyatama V. Meshram, Pravin N. Lambade, Manish S. Tiwari
1. Professor, Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
2. Associate Professor, Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
3. Professor and Head of Department, Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
4. Junior Resident, Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
Correspondence
Dr. Vikas Meshram,
Nirman Heritage, Flat No. 302, Srinath Sai Nagar, Omkar Nagar SQ. Manewada Ring Road,
Nagpur, Maharashtra-440027, India.
E-mail: drvikasm@gmail.com
Allergic responses to lignocaine (amide local anaesthesia) used in dentistry is extremely rare. It is widely used by Oral Maxillofacial surgeons to carry out various procedures safely, comfortably and efficiently. It is important for the practitioners to be aware that allergic reactions though very rare, can occur after injection of lignocaine intradermally for allergy testing. A proper diagnosis and management of such allergic reaction is very essential to avoid undesired consequences. We report a case of a 50-year-old male who suffered itching and generalized skin reaction within 5 minutes after administration of test dose of lignocaine intradermally for allergy testing. Clinical presentation, Diagnosis & management of such allergic reaction are discussed. As local anaesthetic agents are commonly used drugs in day to day practice clinicians are encouraged to be familiar with the presentation of various allergic reactions and there management.
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