Affiliation:
1. Department of Pediatrics The Unterberg Children's Hospital at Monmouth Medical Center Long Branch New Jersey USA
2. Allergy Partners of NJ Ocean New Jersey USA
Abstract
AbstractA 13‐year‐old female with a history of congenital left lower leg lymphedema, multiple food allergies, including an immunoglobulin E mediated severe cow's milk allergy, and well‐controlled moderate persistent asthma was hospitalized with left lower leg erysipelas and Group A Streptococcus septicemia. While hospitalized, immediately after exposure to cow's milk protein as an inactive ingredient within a probiotic, she developed anaphylaxis with respiratory failure requiring intubation. This is only the third reported case of anaphylaxis due to a probiotic. Additionally, it raises issues inherent to the electronic medical record with respect to its inability to identify allergens in supplements as opposed to medications.
Reference10 articles.
1. Safety of probiotics used to reduce risk and prevent or treat disease;Hempel S;Evid Rep Technol Assess,2011
2. A systematic review of the safety of probiotics
3. Emerging issues in probiotic safety: 2023 perspectives
4. Allergic reactions to cow's milk proteins in medications in childhood;Santoro A;Acta Bio‐Med Atenei Parmens,2019
5. Probiotics may be unsafe in infants allergic to cow's milk