Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report

© 2020, Malaysian Society for Parasitology. All rights reserved. Domestic mites have been recognized as the most common allergen responsible for respiratory allergy. Herein, we report a case of anaphylaxis due to ingestion of dust mitecontaminated food. A 14-year-old boy presented to the Emergency D...

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Main Authors: P. Rangkakulnuwat, S. Sanit, M. Lao-Araya
Format: Journal
Published: 2020
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/70668
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-706682020-10-14T08:44:45Z Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report P. Rangkakulnuwat S. Sanit M. Lao-Araya Immunology and Microbiology Medicine © 2020, Malaysian Society for Parasitology. All rights reserved. Domestic mites have been recognized as the most common allergen responsible for respiratory allergy. Herein, we report a case of anaphylaxis due to ingestion of dust mitecontaminated food. A 14-year-old boy presented to the Emergency Department with chest discomfort, wheezing, eyelid angioedema, and urticarial rash twice in a month after eating meals, including tempura fried squids and onion fritters (containing wheat flour, eggs, squid, and onion). Anaphylaxis had been diagnosed and successfully treated. The investigations showed that the patient was sensitive to house dust mites. Positive skin prick-to-prick test response to incriminated flour and negative tests to wheat allergen extract and uncontaminated flour were demonstrated. The microscopic analysis of causative cooking flour identified the presence of Dermatophagoides farinae. During the oral food challenge test, the patient was able to eat tempura-fried squids and onion fritters, made with uncontaminated flour, without any adverse reaction. Hence, oral ingestion of dust mite-contaminated food was the culprit of this severe allergic reaction. 2020-10-14T08:37:43Z 2020-10-14T08:37:43Z 2020-01-01 Journal 25219855 01275720 2-s2.0-85087369043 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85087369043&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70668
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Immunology and Microbiology
Medicine
spellingShingle Immunology and Microbiology
Medicine
P. Rangkakulnuwat
S. Sanit
M. Lao-Araya
Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
description © 2020, Malaysian Society for Parasitology. All rights reserved. Domestic mites have been recognized as the most common allergen responsible for respiratory allergy. Herein, we report a case of anaphylaxis due to ingestion of dust mitecontaminated food. A 14-year-old boy presented to the Emergency Department with chest discomfort, wheezing, eyelid angioedema, and urticarial rash twice in a month after eating meals, including tempura fried squids and onion fritters (containing wheat flour, eggs, squid, and onion). Anaphylaxis had been diagnosed and successfully treated. The investigations showed that the patient was sensitive to house dust mites. Positive skin prick-to-prick test response to incriminated flour and negative tests to wheat allergen extract and uncontaminated flour were demonstrated. The microscopic analysis of causative cooking flour identified the presence of Dermatophagoides farinae. During the oral food challenge test, the patient was able to eat tempura-fried squids and onion fritters, made with uncontaminated flour, without any adverse reaction. Hence, oral ingestion of dust mite-contaminated food was the culprit of this severe allergic reaction.
format Journal
author P. Rangkakulnuwat
S. Sanit
M. Lao-Araya
author_facet P. Rangkakulnuwat
S. Sanit
M. Lao-Araya
author_sort P. Rangkakulnuwat
title Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
title_short Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
title_full Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
title_fullStr Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
title_full_unstemmed Anaphylaxis after ingestion of dust mite (Dermatophagoides farinae)-contaminated food: A case report
title_sort anaphylaxis after ingestion of dust mite (dermatophagoides farinae)-contaminated food: a case report
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85087369043&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70668
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