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A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy
Naohiko Harada,Manami Hirowatari,Eikichi Ihara,Etsuko Ishihara,Mitsuko Inoue,Tomoya Miyamura,Makoto Nakamuta 대한소화기내시경학회 2020 Clinical Endoscopy Vol.53 No.6
A 43-year-old man with rheumatic arthritis was admitted to our hospital for symptoms of cough, left chest pain, and leftelbow pain, and further examination revealed an elevated level of C-reactive protein. On day 2 after admission, he underwentesophagogastroduodenoscopy. On the morning of day 7, he developed a high fever of 39.7°C, several hours after bronchoscopy. Onday 13, he underwent colonoscopy. Five minutes after the colonoscopy, he developed a high fever of 39.9°C, accompanied by stridor,indicating a decrease in arterial oxygen saturation level. An intradermal test for peracetic acid which was used for cleaning flexibleendoscopy was positive. We suspect that he suffered from an allergic reaction to peracetic acid following the flexible endoscopy. This is the first case reported on suspicious allergic reaction to peracetic acid following a flexible endoscopy procedure.