Journal of Clinical Images and Case Reports

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Mohamed Shirazy Author

mohamed_shirazy@yahoo.com

Subjects of specialization
chlorpheniramine, Procalcitonin(PCT), Anaphylaxis

Affiliation
Mohamed Shirazy Department of Emergency Medicine, Alexandria University, Egypt

Biography

Mohamed Shirazy is specialised in both ICU and Emergency Medicine. Completed his graduation from the Alexandria University, Egypt in 2008, he did his ICU training for 5 years during which he got a master degree in Critical Care Medicine. Completed his Diploma in Intensive Care Medicine and the Membership of the Royal College of Emergency Medicine and currently works as an associate specialist in Emergency Medicine in the University Hospitals of Morcambe Bay NHS, UK.

Publications

Special Issue Article Open Access

Case of elevated Procalcitonin (PCT) level in Anaphylactic shock

Author(s):

Mohamed Shirazy , Duaa Abduljabbar, Anis Chaari, Kamel Bousselmi, Vipin Kauts, Karim Hakim

Background:
Anaphylaxis is a life-threatening condition, which is diagnosed clinically and confirmed by raised serial serum tryptase levels.

Case Presentation
A 75-year-old female, who was known to be allergic to penicillin, was mistakenly prescribed meropenem, resulting in anaphylactic shock. She was mechanically ventilated and received intramuscular adrenalin in addition to intravenous hydrocortisone and chlorpheniramine, and nebulised salbutamol. Within two days, the anaphylactic shock had resolved, she was weaned off mechanical ventilation, and discharged to the ward. Procalcitonin (PCT) and serum tryptase levels sent within the first hour of the anaphylaxis. However, the initial and serial serum tryptase levels came significantly high, confirming the diagnos... view more»

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