Lidocaine Allergy: A Case Report on an uncommon complication with a commonly used local anesthetic
Profound local anesthesia (LA) is a prerequisite for the satisfactory treatment of a patient in a dental clinic. The most commonly used local anesthetics in dentistry is Lidocaine. Allergy to Lidocaine is a rare incidence and can vary in presentation. This article describes a case of a female patient seeking endodontic treatment, who reported angioedema soon after a local anesthetic injection containing Lidocaine. The presumptive diagnosis was a hypersensitivity reaction to Lidocaine, which was confirmed by a skin-prick and intra-dermal test. The patient was managed by a dosage of oral corticosteroids and antihistaminics, before ensuing further treatment This article emphasizes the significance of allergy testing prior to LA use, taking into account the significant consequences of allergy to these agents.
Abstract
Profound local anesthesia (LA) is a prerequisite for the satisfactory treatment of a patient in a dental clinic. The most commonly used local anesthetics in dentistry is Lidocaine. Allergy to Lidocaine is a rare incidence and can vary in presentation. This article describes a case of a female patient seeking endodontic treatment, who reported angioedema soon after a local anesthetic injection containing Lidocaine. The presumptive diagnosis was a hypersensitivity reaction to Lidocaine, which was confirmed by a skin-prick and intra-dermal test. The patient was managed by a dosage of oral corticosteroids and antihistaminics, before ensuing further treatment This article emphasizes the significance of allergy testing prior to LA use, taking into account the significant consequences of allergy to these agents.
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