In:
European Journal of Case Reports in Internal Medicine, SMC Media, ( 2023-06-19)
Abstract:
The most common cause of vasoplegic shock in critical care is sepsis. However, although rarely and only in specifically sensitised individuals previously bitten by a tick, red meat may provoke a delayed allergic reaction called an alpha-gal syndrome. We present a case of a protracted life-threatening manifestation of alpha-gal syndrome, which, due to an unusual absence of typical features of anaphylaxis can masquerade as septic shock and calls attention to the premature diagnostic closure as a contributor to diagnostic error. Alpha-gal syndrome is a relatively new, but increasingly recognised health issue. We propose that alpha-gal syndrome should be considered in the differential diagnosis of vasoplegic shock of unclear aetiology even in the absence of typical allergic symptomatology and typical allergen exposure since alpha-gal is present in a wide variety of carriers.
Type of Medium:
Online Resource
ISSN:
2284-2594
DOI:
10.12890/2023_003939
Language:
English
Publisher:
SMC Media
Publication Date:
2023
detail.hit.zdb_id:
3016175-7