Lidocaine local anaesthetic hypersensitivity in children after infiltration extraction

Hipersensitivitas anestesi lokal lidokain pada anak pasca esktraksi infiltrasi

Abstract

Lidocaine, a local anaesthetic often used in tooth extraction, can cause allergic reactions or side effects similar to allergic reac-tions, although very rare. This case report discusses lidocaine local anaesthetic hypersensitivity in a child after infiltration extracti-tion. A female patient came to Baiturrahmah Dental Hospital Padang. Post-extraction, the patient still complained of an enlarged left upper lip. After extraoral examination, the lip was slightly reddish and enlarged. The patient was thought to have hypersen-sitivity to anaesthetic during tooth extraction. Management was carried out pharmacotherapy by administering CTM 4 mg 1 tablet. Control 1 day after treatment was found that the patient's lips were no longer red and did not feel itchy. It was concluded that the patient experienced type-I hypersensitivity to lidocaine after infitration tooth extraction, namely the appearance of symptoms of swelling and itching on the upper left lip.