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Case report
Anaphylaxis and other allergic reactions to food: a global challenge
  1. Antonio Jose Reyes1,
  2. Amanda Sheena Hosein1,
  3. Kanterpersad Ramcharan2 and
  4. Sean Perot1
  1. 1Department of Medicine, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago
  2. 2Department of Medicine, SurgiMed Clinic, San Fernando, Trinidad and Tobago
  1. Correspondence to Dr Kanterpersad Ramcharan; kramcharan79{at}


We describe a case of a biphasic anaphylactic reaction that occurred in a young woman soon after the ingestion of soy milk that led to her hospitalisation. Early recognition and appropriate treatment led to a successful outcome of this life-threatening condition. Challenges encountered in the care of this common illness are highlighted. There is a need for an increase in public awareness on dangerous allergic reactions caused by allergens present in food products in public use, thereby facilitating primary preventative measures to minimise its occurrence. Healthcare stakeholders need to implement measures of contemporary preventative medicine and efficient therapeutic protocols to safeguard the public welfare concerning this global health problem where appropriate interventions can reduce morbidity and mortality. Trial registration numbers NCT02991885 and NCT02851277.

  • global Health
  • general practice / family medicine
  • immunology
  • allergy, asthma
  • public health

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  • Contributors The article was conceptualised by AJR and KR. The first draft was prepared by ASH. AJR, ASH, KR and SP worked on subsequent revisions. The final manuscript has been approved by all authors who have assumed collective responsibility for the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.