Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report

Muhammad Abdullahi; Jika Mohammed Mohammed Mohammed; Ibrahim Salim Abdullahi

doi:10.5455/CRSM.20251111084908

Case Report
Online Published: 04 Feb 2026

Case Rep Ser Med. 2026; 3(1): 6-9

doi: 10.5455/CRSM.20251111084908

Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report

Muhammad Abdullahi, Jika Mohammed Mohammed Mohammed, Ibrahim Salim Abdullahi.

Abstract
Noma (cancrum oris) is a fulminant orofacial gangrene predominantly affecting malnourished children in low-resource settings, often resulting in trismus and severe facial deformities. A 40-year-old otherwise healthy woman developed acute fainting, severe epigastric pain, profuse sweating, and dizziness immediately after intravenous glycopyrrolate 0.2 mg premedication for trismus release. Symptoms resolved spontaneously within 15 minutes without pharmacological intervention. Vital signs, ECG, and laboratory investigations were normal. The procedure was postponed; one week later, atropine 0.5 mg was used as an alternative antisialogogue, enabling uneventful asleep fiberoptic intubation and successful surgery. The patient recovered fully and was discharged on postoperative day 14. This case highlights a rare, self-limiting adverse reaction to glycopyrrolate and underscores the importance of vigilant monitoring and availability of alternative anticholinergics in managing difficult airways associated with NOMA sequelae

Key words: Noma, trismus, glycopyrrolate, atropine, adverse drug reaction, fiberoptic intubation, antisialogogue

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How to Cite this Article

Pubmed Style

Abdullahi M, Mohammed JMM, Abdullahi IS. Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Rep Ser Med. 2026; 3(1): 6-9. doi:10.5455/CRSM.20251111084908

Web Style

Abdullahi M, Mohammed JMM, Abdullahi IS. Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. https://www.wisdomgale.com/crsm/?mno=296033 [Access: June 07, 2026]. doi:10.5455/CRSM.20251111084908

AMA (American Medical Association) Style

Abdullahi M, Mohammed JMM, Abdullahi IS. Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Rep Ser Med. 2026; 3(1): 6-9. doi:10.5455/CRSM.20251111084908

Vancouver/ICMJE Style

Abdullahi M, Mohammed JMM, Abdullahi IS. Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Rep Ser Med. (2026), [cited June 07, 2026]; 3(1): 6-9. doi:10.5455/CRSM.20251111084908

Harvard Style

Abdullahi, M., Mohammed, . J. M. M. & Abdullahi, . I. S. (2026) Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Rep Ser Med, 3 (1), 6-9. doi:10.5455/CRSM.20251111084908

Turabian Style

Abdullahi, Muhammad, Jika Mohammed Mohammed Mohammed, and Ibrahim Salim Abdullahi. 2026. Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Reports and Series in Medicine, 3 (1), 6-9. doi:10.5455/CRSM.20251111084908

Chicago Style

Abdullahi, Muhammad, Jika Mohammed Mohammed Mohammed, and Ibrahim Salim Abdullahi. "Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report." Case Reports and Series in Medicine 3 (2026), 6-9. doi:10.5455/CRSM.20251111084908

MLA (The Modern Language Association) Style

Abdullahi, Muhammad, Jika Mohammed Mohammed Mohammed, and Ibrahim Salim Abdullahi. "Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report." Case Reports and Series in Medicine 3.1 (2026), 6-9. Print. doi:10.5455/CRSM.20251111084908

APA (American Psychological Association) Style

Abdullahi, M., Mohammed, . J. M. M. & Abdullahi, . I. S. (2026) Adverse Reaction to Intravenous Glycopyrrolate In a 40-year-old Woman Undergoing Trismus Release for Noma-related Cheek Defects: A Case Report. Case Reports and Series in Medicine, 3 (1), 6-9. doi:10.5455/CRSM.20251111084908