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Pretty poorly-written case report. I'm not talking about the grammar (obviously English is their second language, and one of their authors has a good command of it) but the complete lack of discussion of the possibilities involved for the true causitive agent.
As others have pointed out, latex allergy (extremely common in healthcare workers, like this patent) or allergy to a large molecule contaminant / preservative is the answer here.
Unless this lady were a Klingon (or Cylon, take your pick) she lives in a solution of sodium, chloride and water, so her allergy was to "Normal Saline" only in the sense that Normal Saline was what was printed on the bag they administered.
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Ars Longa, vita brevis
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