Anaphylactic Shock due to Mushroom Soup

Abstract

Introduction: Adverse reactions to food have existed for years. Common conditions relating to food allergy are topic dermatitis, urticaria, and angioedema. We report a case of acute onset angioedema and anaphylactic shock after the intake of packed cream mushroom soup. Case Report: A 20-year-old man had complaints of diffuse abdominal pain and vomiting shortly after eating cream of mushroom soup. Physical examination revealed uvula and mucous membrane edema and swelling of the lips. Despite the implementation of fluid resuscitation, hypotension and hypoperfusion persisted. Fluid resuscitation and vasopressor therapy was continued. Forty minutes after the application, hypoperfusion signs recovered. He regained consciousness but has low blood pressure. He was then transferred to the intensive care unit. Conclusion: A large number of anaphylaxis cases caused by food have been reported; however, to the best of our knowledge this is the first reported case of anaphylaxis due to cream of mushroom soup. Emergency care physicians should know and understand anaphylaxis management and the necessity of prompt treatment

Keywords

• Anaphylactic shock, angioedema, mushroom

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