Medical education Lessons from practice
Volume 224 - Published ahead of Issue 8

A Rare Case of Storage Mite Anaphylaxis in Infancy

Authors:  Eliza Kluckow, Katie Frith

Correspondence: eliza.kluckow@health.nsw.gov.au

Med J Aust 2026 || doi: 6/08/2026
Published online: 6 August 2026

Abstract

This is one of the first reported cases of storage mite anaphylaxis in Australia, occurring in an infant who had two episodes of severe anaphylaxis, triggered by previously tolerated foods. Both episodes occurred following extended periods of food storage, and in both instances, the child required two doses of intramuscular adrenaline. Skin prick testing was negative to implicated foods, but demonstrated sensitisation to house dust mite, and serum-specific IgE confirmed storage mite sensitisation. Clinician recognition of this condition is essential for timely diagnosis and implementation of preventive measures to reduce further episodes of life-threatening anaphylaxis in at-risk patients.