Giant honey bee (Apis dorsata) sting and acute limb ischemia: a case report and review of the literature.

Autor: Ratnayake GM; National Hospital of Sri Lanka, Colombo 10, Sri Lanka. ratnayakegowri003@gmail.com., Weerathunga PN; National Hospital of Sri Lanka, Colombo 10, Sri Lanka., Dilrukshi MSA; National Hospital of Sri Lanka, Colombo 10, Sri Lanka., Amara Witharana EWR; Base Hospital Deniyaya, Deniyaya, Sri Lanka., Jayasinghe S; Department of Clinical Medicine, University of Colombo, Colombo 8, Sri Lanka.
Jazyk: angličtina
Zdroj: BMC research notes [BMC Res Notes] 2018 May 21; Vol. 11 (1), pp. 327. Date of Electronic Publication: 2018 May 21.
DOI: 10.1186/s13104-018-3422-6
Abstrakt: Background: Clinically significant manifestations of Hymenopteran envenomation is increasingly recognized in Sri Lanka. These clinical manifestations range from localized allergic reactions to end-organ failure and thrombotic-episodes. We report a case of 65 year old male who developed acute lower limb ischaemia after a sting of the hymenopteran Apis dorsata.
Case Presentation: A 65 year old male with hypertension and hyperlipidaemia presented with envenomation from an attack of a swarm of A. dorsata. He subsequently developed acute limb ischaemia following an acute femoral thrombus and made a complete recovery with anticoagulation and surgical-embolectomy.
Conclusions: This case adds to the spectrum of thrombotic manifestations of Hymenopteran venom highlighting the requirement for close monitoring and clinical vigilance in these patients.
Databáze: MEDLINE
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