A patient was given 2g penicillin 1 hour before scaling and root planning. The patient was given 1 carpule of 2% lidocaine with epinephrine at the appointment. After few minutes lips appear red and extremely swollen, and they are having a difficult time breathing. What is the cause if the reaction?

penicillin allergy

penicillin sensitivity

Epinephrine allergy

lidocaine allergy