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This report aims to describe a rare case of anaphylactic shock occurring during general anesthesia in a child.

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March 7, 2026Open Access

Anaphylactic Shock in Child under General anesthesia: A Case Report

Key Points

This report aims to describe a rare case of anaphylactic shock occurring during general anesthesia in a child.
Case report detailing clinical signs of anaphylaxis under anesthesia
Identification of triggering agents including anesthetics and latex
Treatment actions administered including IV epinephrine and airway support.
Shock symptoms included hypotension and bronchospasm rather than typical rash and tachycardia
Immediate discontinuation of the anesthetic agent effectively managed the situation
Administration of IV epinephrine was crucial for treatment.

Abstract

Anaphylaxis under Anesthesia in Pediatrics is a rare (1:10,000)1 but a life-threatening event. The common triggers are anesthetic drugs such as neuromuscular blocking agents , antibiotics, propofol and latex. Signs and symptoms of anaphylaxis under anesthesia differ. The most reliable signs under anesthesia are hypotension and bronchospasm in contrast to routine presentations such as rashes, Airway oedema and tachycardia. Treatment requires immediate discontinuation of the suspected agent, administration of IV epinephrine, airway support with oxygen, intravenous fluid resuscitation, and other medications such as H1 and H2 blockers, corticosteroids.

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