Severe anaphylaxis after pelvic examination: a case report of dual latex and chlorhexidine allergies

Table 1 Investigations performed in this patient with anaphylaxis after pelvic examination

Skin prick test^a	Prick-to-prick test^b	Specific IgE^c
Chlorhexidine digluconate (0.002 mg/mL): 7 × 7 mm with flare	Longan: 9 × 5 mm with flare Jackfruit: 7 × 7 mm with flare	Latex: 45.90 kAU/L rHev b 1: 1.79 kAU/L
K-Y jelly: negative	Cultivated banana: 4 × 3 mm with flare	rHev b 3: 0.32 kAU/L
Positive control: 8 × 8 mm with flare	Cavendish banana: 7 × 6 mm with flare	rHev b 5: 41.5 kAU/L
Negative control: negative	Avocado: 6 × 5 mm with flare Kiwi: 6 × 5 mm with flare Chestnut: negative	rHev b 6.02: 32.1 kAU/L rHev b 8: 0 kAU/L rHev b 11: 2.96 kAU/L

IgE immunoglobulin E, rHev b recombinant Hevea brasiliensis allergen, kAU/L kilo allergy unit per liter, K-Y jelly water-based, water-soluble personal lubricant, Johnson & Johnson
^aNormal saline and histamine (10 mg/mL) were used as negative and positive controls, respectively. We did not perform a latex skin test due to unavailability of a standard solution
^bPrick-to-prick test by using fresh fruit
^cSolid-phase immunoassay: ImmunoCAP

ISSN: 1710-1492