Lin Hsing-Lin, Lin Jiun-Nong, Chen Chao-Wen, Kuo Liang-Chi, Lee Wei-Che
Division of Trauma, Department of Surgery and Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Formos Med Assoc. 2009 Dec;108(12):964-6. doi: 10.1016/S0929-6646(10)60010-1.
Stings by honeybees are not uncommon and most cases cause pain but no significant medical problems. Some patients, however, have lethal complications such as acute anaphylactic shock. Cellulitis caused by honeybee sting is very rare and can be a late complication in some patients. We report a 45-year-old female patient who was stung by a honeybee, and whose right forearm showed progressive swelling with bullous formation after the sting. She was sent to our emergency department with the diagnosis of right hand cellulitis. After treatment with antibiotics for 5 days, the lesions showed no response. Then, systemic steroid was used and the lesion gradually resolved. Diagnosis of Wells syndrome was made according to clinical appearance, course and characteristic histopathological findings.
蜜蜂蜇伤并不罕见，大多数情况下会引起疼痛，但不会导致严重的医学问题。然而，一些患者会出现致命并发症，如急性过敏性休克。蜜蜂蜇伤引起的蜂窝织炎非常罕见，可能是一些患者的晚期并发症。我们报告一名45岁女性患者，她被蜜蜂蜇伤，蜇伤后右手前臂出现进行性肿胀并形成水疱。她因右手蜂窝织炎的诊断被送往我们的急诊科。使用抗生素治疗5天后，病变没有反应。然后，使用了全身性类固醇，病变逐渐消退。根据临床表现、病程和特征性组织病理学发现做出了韦尔斯综合征的诊断。
