Abstract
Bee stings can cause severe adverse reactions. There have been no cases of acute lung injury induced by bee sting acupuncture. We report a case of a 52-year-old male who required high flow oxygen therapy because of acute lung injury by bee sting acupuncture. The patient had been treated with live bee sting acupuncture by himself for knee pain. After self-injections of live bee sting, he immediately presented with generalized urticaria that remitted within 3 hours after taking an oral antihistamine. Ten days later, he visited our emergency department due to dyspnea and dizziness. He was diagnosed with acute lung injury by bee sting acupuncture based upon a history of symptom onset after exposure to the allergen and clinical test results. This case emphasizes that practitioners should consider potential risks of delayed-onset adverse reactions induced by bee sting acupuncture.
References
1. Lee JD, Park HJ, Chae Y, Lim S. An overview of bee venom acupuncture in the treatment of arthritis. Evid Based Complement Alternat Med. 2005; 2:79–84.
3. Golden DB. Advances in diagnosis and management of insect sting allergy. Ann Allergy Asthma Immunol. 2013; 111:84–89.
4. Lazoglu AH, Boglioli LR, Taff ML, Rosenbluth M, Macris NT. Serum sickness reaction following multiple insect stings. Ann Allergy Asthma Immunol. 1995; 75(6 Pt 1):522–524.
5. Jung JW, Jeon EJ, Kim JW, Choi JC, Shin JW, Kim JY, et al. A fatal case of intravascular coagulation after bee sting acupuncture. Allergy Asthma Immunol Res. 2012; 4:107–109.
6. El Husseiny M, Karam L, Maalouly G, Tabet G. Severe lower limb ischemia after bee stings. Ann Vasc Surg. 2011; 25:269.e5–109.e7.
7. Sheard S, Rao P, Devaraj A. Imaging of acute respiratory distress syndrome. Respir Care. 2012; 57:607–612.
8. Lichtenstein LM, Golden DB. Postscript to bee stings: delayed 'serum sickness'. Hosp Pract (Off Ed). 1983; 18:36. 40. 40A.