Unusual reaction to Hymenoptera stings

Suk-Hwan In; Young-Cheol Shin; Eui-Kwon Hwang; Hae-Won You; Jun-IL Kim; June-Hyuck Park; An-Soo Jang

doi:10.4168/aard.2016.4.4.305

Journal List > Allergy Asthma Respir Dis > v.4(4) > 1059199

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In, Shin, Hwang, You, Kim, Park, and Jang: Unusual reaction to Hymenoptera stings

Case Report

Allergy, Asthma & Respiratory Disease 2016; 4(4): 305-307.

Published online: 31 July 2016

DOI: https://doi.org/10.4168/aard.2016.4.4.305

Unusual reaction to Hymenoptera stings

Suk-Hwan In, Young-Cheol Shin, Eui-Kwon Hwang, Hae-Won You, Jun-IL Kim, June-Hyuck Park, An-Soo Jang

Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Correspondence to: An Soo Jang. Division of Allergy and Respiratory Medicine, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Wonmi-gu, Bucheon 14584, Korea. Tel: +82-32-621-5114, Fax: +82-32-621-5018, jas877@schmc.ac.kr

Received 28 March 2016 Revised 1 May 2016 Accepted 2 June 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).

Abstract

Reactions to Hymenoptera stings are classified into local reactions, large local reactions, systemic anaphylactic reactions, systemic toxic reactions, and unusual reactions. They are also classified into immediate and delayed reactions. The most frequent clinical patterns are large local and systemic anaphylactic reactions. The skin, and the gastrointestinal, respiratory, and cardiovascular systems can be involved. A variety of unusual or unexpected reactions, such as acute encephalopathy, acute renal failure, nephrotic syndrome, silent myocardial infarction, diffuse alveolar hemorrhage, rhabdomyolysis, and cataracts, occur in a temporal relationship to insect stings. Here, we report a 31-year-old woman with delayed generalized edema, weight gain, and unusual reactions 24 hours after bee sting.

Keywords: Hymenoptera, Bites and stings, Edema

Figures and Tables

Fig. 1

Body weight change before and post-bee sting. Baseline body weight is 40 kg. After bee sting, the weight is peak up to 57 kg at day 1. The weight decreased and reached plateau at day 9.

Fig. 2

(A) Generalized edema on face and extremity after bee sting. (B) Generalized edema and weight gain were subsided for 2 weeks after treatment.

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ORCID iDs: An-Soo Jang
https://orcid.org/http://orcid.org/0000-0001-5343-023X
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