Anaphylaxis Presenting as Uvulitis

Lilly Nguyen; Thor S Stead; Carlos Lopez Ortiz; Rita Gillespie; Latha Ganti

doi:10.7759/cureus.17853

Anaphylaxis Presenting as Uvulitis

Cureus. 2021 Sep 9;13(9):e17853. doi: 10.7759/cureus.17853. eCollection 2021 Sep.

Authors

Lilly Nguyen¹, Thor S Stead², Carlos Lopez Ortiz^{3

4

5}, Rita Gillespie⁶, Latha Ganti^{4

7

3

8}

Affiliations

¹ Emergency Medicine, Trinity Preparatory School, Winter Park, USA.
² Medicine, The Warren Alpert Medical School of Brown University, Providence, USA.
³ Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.
⁴ Emergency Medicine, Envision Physician Services, Plantation, USA.
⁵ Emergency Medicine, University of Central Florida College of Medicine /HCA Graduate Medical Education, Ocala, USA.
⁶ Emergency Medicine, Lakeland Regional Health, Lakeland, USA.
⁷ Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
⁸ Emergency Medicine, HCA Healthcare Graduate Medical Education Consortium Emergency Medicine Residency Program of Greater Orlando, Orlando, USA.

Abstract

The authors present a case of a young man who woke up with uvular swelling resulting in a severely narrowed airway. He had ingested peanut butter the prior night but was unaware of any allergies. He was treated with epinephrine, diphenhydramine, and methylprednisolone which resulted in resolution of the airway compromise. The authors discuss the mechanism of anaphylaxis and the emergency management of this life-threatening condition.

Keywords: airway emergency; allergy and anaphylaxis; anaphylaxis; emergency medicine; uvulitis.

Publication types

Case Reports