Abstract
We report a 10 month old girl known case of Cow’s milk protein allergy (CMPA) who presented with an allergic reaction to Salbutamol. She was prescribed salbutamol to be used through nebulizer. She had clear systemic reaction with increased cough and facial and lip swellings that lasted for about 20 minutes. This reaction was observed for three consecutive times after which the medication was held. In the report, we review the literature and found that most reactions can be categorized as either a true anaphylaxis or simply a paradoxical bronchospasm. The true anaphylaxis was mostly associated with a positive skin prick test. Key words: Allergy, salbutamol, children