INVITED SPEAKER PRESENTATION Open Access An infant with anaphylaxis

A 4 month old infant presents to your hospital with a history of becoming unwell with difficulty in breathing after being given a different cows milk formula. She had previous devevloped urticaria with some porriage. This case incorporates a few common clinical chal-lenges: how to recognise anaphylaxis in infants, identify-ing the responsible allergen and determining the most appropriate anaphylaxis management plan. Recognition of anaphylaxis in infancy: anaphylaxis can be difficult to recognise in infants and readily confused with other presentations (Simons 2007). Finding the responsible allergen: in this case, there is seemingly no contact with a new food. The challenge is that food manufacturers use multiple ingrediates in pro-cessed food so that a cows milk formula will not onl