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CASE REPORT
Year : 2017  |  Volume : 33  |  Issue : 3  |  Page : 399-401

Xylometazoline nasal drops induced anaphylaxis: An atypical perioperative complication


1 Department of Anaesthesiology, SGPGI, Lucknow, Uttar Pradesh, India
2 Department of Anaesthesia, Gian Sagar Medical College, Banur, Patiala, Punjab, India

Correspondence Address:
Rudrashish Haldar
Department of Anaesthesiology, SGPGIMS, Rae Bareilly Road, Lucknow, UP, 226014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.173331

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Xylometazoline nasal drops used for nasal decongestion can have side-effect in the form of palpitation, hypertension, headache, and tremors. Anaphylaxis to xylometazoline nasal drops is a relatively unrecognized complication. We encountered a patient posted for tonsillectomy who developed serious anaphylaxis upon administration of a commercially available preparation of xylometazoline nasal drops and required aggressive management for stabilization. Further evaluation and literature search indicated toward the preservative (benzylalkonium chloride) as the cause of this adverse event.


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