Evidence map›Paper›PMID 30255002›Full record

ArticleObstetrics & gynecology science2018

Anaphylactic shock to vaginal misoprostol: a rare adverse reaction to a frequently used drug.

Hyun Joo Shin, Sa Ra Lee, A-Mi Roh, Young-Mee Lim, Kyung Ah Jeong, Hye-Sung Moon, Hye Won Chung

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Obstetrics & gynecology science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. A rare case of misoprostol hypersensitivity.Journal of family medicine and primary care · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Hyun Joo ShinDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Sa Ra LeeDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0002-7890-8348
A-Mi RohDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Young-Mee LimDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Kyung Ah JeongDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Hye-Sung MoonDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Hye Won ChungDepartment of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Ewha Womans University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Misoprostol is widely used in daily practice for induction of labor and cervical dilatation prior to intrauterine procedures, including dilatation and curettage or hysteroscopy. Anaphylactic shock to intravaginal misoprostol can occur not only in pregnant women, as reported in 2 previous cases, but also in a non-pregnant, perimenopausal woman, as in the case described herein. A 49-year-old woman received vaginal misoprostol for cervical ripening prior to hysteroscopic myomectomy and experienced anaphylactic shock. Two 400 μg doses of misoprostol 6 hours apart caused uncontrolled shaking and high fever followed by shock. In conclusion, the possibility of anaphylactic shock should be considered in patients with sudden hypotension following misoprostol administration. Prompt identification and management are crucial to prevent morbidity and mortality following an anaphylactic shock to misoprostol.

Indexed as

AnaphylaxisHysteroscopyMisoprostolShock

Identifiers

PMID30255002
PMCPMC6137020
OpenAlexW2886745908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.