Navigating the uncommon: a case of caesarean section associated with exercise-induced anaphylaxis


  • Sushma Paccha Department of Anaesthesia, East Cheshire NHS Trust, Macclesfield, Cheshire, United Kingdom
  • Muhammad Imran Department of Anaesthesia, East Cheshire NHS Trust, Macclesfield, Cheshire, United Kingdom



EIA, Caesarean section, Pregnancy, FDEIA, Multidisciplinary approach, Idiopathic anaphylaxis, NSAID sensitivity, Stress, Spinal anaesthesia


Exercise-induced anaphylaxis (EIA) and food-dependent exercise-induced anaphylaxis (FDEIA) are rare but serious conditions where physical activity triggers severe allergic reactions. These are rarely reported in pregnant women undergoing caesarean section. We present the case of a 33-year-old woman with a history of EIA, scheduled for a caesarean section at 37 weeks of gestation. To manage the planned caesarean section, a multidisciplinary team strategy was devised to mitigate anaphylaxis risks. The surgery proceeded without complications under spinal anaesthesia, and the patient did not exhibit any anaphylactic reactions. The patient was monitored in the high dependency unit (HDU) and was discharged two days later. This case highlights the importance of individualized anaesthesia planning, multidisciplinary collaboration, and detailed preparation to ensure the safety of pregnant patients with EIA undergoing caesarean section.



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How to Cite

Paccha, S., & Imran, M. (2024). Navigating the uncommon: a case of caesarean section associated with exercise-induced anaphylaxis. International Journal of Basic & Clinical Pharmacology, 13(4), 530–533.



Case Reports