12/10/2023 0 Comments Allergic reactions to niacin![]() A detailed history revealed the patient had been on a vegan diet for the past five years without taking any multivitamins or fortified food. She had no known allergic reaction to food or drugs. Her past medical and surgical history was unremarkable. She did not have any antecedent infection. She had no associated symptoms such as fever, cough, sensory abnormalities, paresthesia, and difficulty in adjusting to surrounding temperature. ![]() In this case report, we are documenting a case of anaphylactic reaction in a 55-year-old woman after her second dose of cyanocobalamin intramuscularly.Ī 55-year-old patient presented in the outpatient department with complaints of weakness, tiredness and mild shortness of breath for four to five months. Traditionally vitamin B12 deficiency has been treated with intramuscular injection of cyanocobalamin. According to American Family Physicians, intramuscular injection of 1 mg weekly of cyanocobalamin for eight weeks, followed by 1 mg monthly for life or high oral dose of 1-2 mg/dl of vitamin B12 daily for life are used to treat vitamin B12 deficiency regardless of etiology. Elderly, pregnant women, vegetarians, and patients with renal or intestinal diseases are some risk groups most likely to suffer from vitamin B12 deficiency. Although vitamin B12 is easily accessible as a dietary supplement and a prescription medication its deficiency is becoming widespread. Vitamin B12 is naturally present in some foods and added to others. Vitamin B12 is a water-soluble vitamin and is essential for the growth of healthy nerves and red blood cells. Health care providers should be vigilant while administering the intramuscular injection of cyanocobalamin to vitamin B12 deficient patients. The purpose of this case report is to highlight the need to understand the rare life-threatening side effect of intramuscular cyanocobalamin. Anaphylactic reaction after intramuscular injection is an uncommon and potentially serious side effect. In this study, we are documenting a case of anaphylactic reaction in a 55-year-old woman after her second dose of intramuscular injection of cyanocobalamin. Parenteral therapy using the intramuscular route is considered the most familiar treatment for vitamin B12 deficiency. Either parenteral vitamin B12 treatment or high-dose oral vitamin B12 treatment is an effective therapy regardless of etiology. Vitamin B12 deficiency is becoming widespread and most commonly affects elderly, pregnant women, vegetarians, and patients with renal or intestinal diseases. Vitamin B12 is essential for the development of healthy nerves and red blood cells.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |