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黄蜂蜇伤:一种不寻常的致命后果。

Wasp sting: an unusual fatal outcome.

作者信息

George Pratish, Pawar Basant, Calton Nalini, Mathew Pradeep

机构信息

Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, India.

出版信息

Saudi J Kidney Dis Transpl. 2008 Nov;19(6):969-72.

Abstract

Wasp stings are not uncommon especially in populations living in proximity of forested areas all over the world. Local manifestations following stings are common and un-usually life threatening anaphylaxis may occur, requiring prompt treatment. Multi organ failure and acute renal failure following wasp stings are rare and histological evaluation suggest acute tubular necrosis secondary to hemolysis, rhabdomyolysis and direct venom toxicity. A rare com-plication of a patient following multiple wasp stings with disseminated intravascular coagulation, acute renal failure and thrombotic microangiopathy is presented.

摘要

黄蜂蜇伤并不罕见,尤其是在世界各地居住在林区附近的人群中。蜇伤后的局部表现很常见,可能会发生罕见且危及生命的过敏反应,需要及时治疗。黄蜂蜇伤后出现多器官衰竭和急性肾衰竭很罕见,组织学评估提示急性肾小管坏死继发于溶血、横纹肌溶解和直接毒液毒性。本文介绍了一名患者在多次黄蜂蜇伤后出现弥散性血管内凝血、急性肾衰竭和血栓性微血管病的罕见并发症。

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