This case involves a 12-year-old otherwise healthy child who received a series of weekly subcutaneous immunotherapy shots. The child had periodically received allergy treatment by the defendant physician and had reacted positively to the first 4 shots of the series. Upon receiving the 5th shot, the child developed instant swelling at the injection site. Within 25 minutes, the child suffered a full-body anaphylactic reaction. The child was rushed to the hospital but expired en route.
Question(s) For Expert Witness
- 1. Please describe your background in immunology?
- 2. Do you routinely treat patients like the one described in this case? Please explain.
- 3. How common is it for patients to experience significant sensitivity to allergy shots?
Expert Witness Response E-007467
I have been a clinical allergist and immunologist, teacher, and researcher for 20+ years. In my practice, I routinely treat patients with immunotherapy and have never had a patient die after administering the therapy. Local reactions are common. More systemic reactions occur fairly rarely, (1/100) but readily respond to epinephrine. I have published animal studies on experimental immunotherapy and anaphylaxis and reviewed similar cases in the past.
This double board certified expert is fellowship trained in immunology and has been practicing for 25+ years. He is extensively published in allergy and clinical immunology journals and serves as a reviewer for five scientific journals. He is active at the clinical level on a weekly basis and has been listed to the “Best Doctors in America” multiple times. Currently, this expert is an associate professor in the departments of pediatrics and medicine at a major medical university, where his research focuses on autoimmunity.