Ryu, Hee Yun
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Yoo, Min Seok
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Park, Ji Young
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Choi, Jae Woong
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Ryu, Sung Kee
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Kim, Seunghwan
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Lee, Se Jin
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
,
Kim, Young Bin
(Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 tim...
Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.
Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.
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제안 방법
2). In the absence of any consensus, it was decided to maintain an efficient platelet antiaggregation treatment (clopidogrel 75 mg/day) for 1 year and the patient underwent regular follow-up.
A 58-year-old man, with no cardiovascular risks, and no known or documented allergic history, was admitted to the hospital after he was envenomed by a bee sting. While climbing a mountain, the patient was stung 5 times on frontal, left inferior orbital, right elbow, and left knee. The patient complained of blurred vision and pruriginous cutaneous reactions which occurred at the sting sites, and was treated with antihistamines in the Emergency Room.
대상 데이터
A 58-year-old man, with no cardiovascular risks, and no known or documented allergic history, was admitted to the hospital after he was envenomed by a bee sting. While climbing a mountain, the patient was stung 5 times on frontal, left inferior orbital, right elbow, and left knee.
While climbing a mountain, the patient was stung 5 times on frontal, left inferior orbital, right elbow, and left knee. The patient complained of blurred vision and pruriginous cutaneous reactions which occurred at the sting sites, and was treated with antihistamines in the Emergency Room. After 1 hour, the patient felt pallor, pain, and coldness in the left first toe.
참고문헌 (10)
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Lee JH, Lee YK, Ma SK, Kim SW, Kim NH, Kim DH, et al. Acute renal failure associated with rhabdomyolysis following hornet stings. Korean J Med 2006;71(Suppl 3):S1079-83. Korean.
Bindu CB, Manuprakash SK, Srinivasa BS. Acute myocardial injury in multiple bee stings - a case report. Int J Med Sci Public Health 2013;2:1107-9.
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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;4:107-9.
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