Abstract

We present the case of a 63-year-old female who presented to the emergency room in a gasping state with visible swelling of the face. She had no known allergies and was not a chronic consumer of any metallic substance. The patient reported the onset of symptoms shortly after ingesting sweets from the refrigerator. Initial assessment revealed severe respiratory distress, hypotension, and low oxygen saturation. Anaphylactic shock was diagnosed, and immediate resuscitative measures were initiated, including intravenous fluids, adrenaline, antihistamines, and corticosteroids. The patient required endotracheal intubation due to compromised airway and was subsequently transferred to the ICU. Diagnostic imaging and endoscopy revealed multiple foreign bodies. This case highlights the importance of early recognition and prompt management of anaphylactic shock, even in patients without a known history of allergies. We also provide are view of the literature on anaphylaxis and food allergies.

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