Evidence map›Paper›PMID 41003942›Full record

ArticleJA clinical reports2025

Perioperative anaphylaxis attributed to acetaminophen following intravenous acetaminophen administration: a case report.

Yasuhiro Amano, Yosuke Taki, Yuko Konishi, Tasuku Fujii, Takahiro Tamura

Abstract read
In one paragraph

Article in JA clinical reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Yasuhiro AmanoDepartment of Anesthesiology, Nagoya University Graduate of School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan. amano.yasuhiro.f1@f.mail.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0002-2241-9801
Yosuke TakiDepartment of Ophthalmology, Nagoya University Graduate of School of Medicine, Nagoya, Japan.
Yuko KonishiEndowed Division of Perioperative Management, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Tasuku FujiiDepartment of Anesthesiology, Nagoya University Graduate of School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.
Takahiro TamuraDepartment of Anesthesiology, Nagoya University Graduate of School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnaphylaxis caused by intravenous acetaminophen is extremely rare, but a few case reports have identified mannitol, an excipient, as the causative component. Since mannitol is widely present in medications and foods, distinguishing the true antigen is essential to prevent recurrence. CASE PRESENTATION: A 67-year-old woman developed anaphylaxis with pulseless electrical activity during ophthalmic surgery after intravenous administration of acetaminophen (Acelio®). Allergy testing revealed positive reactions to both Acelio® and acetaminophen in skin tests and the basophil activation test, while reactions with mannitol were negative. Acetaminophen was confirmed as the causative agent. Hence, the patient was instructed to avoid only acetaminophen.

conclusionsAccurate identification of the causative component in intravenous acetaminophen formulations is critical. Clarifying whether the reaction is due to the active ingredient or an excipient such as mannitol helps prevent unnecessary drug restrictions and expands future treatment options.

Indexed as

AcetaminophenBasophil activation testMannitolPerioperative anaphylaxisSkin tests

Identifiers

PMID41003942
PMCPMC12474793

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