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孤立性蜜蜂蜇伤累及多条颅神经。

An isolated bee sting involving multiple cranial nerves.

作者信息

Motamed Hassan, Forouzan Arash, Rasooli Fatemeh, Majidi Alireza, Maleki Verki Mohammadreza

机构信息

Emergency Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Case Rep Emerg Med. 2013;2013:920928. doi: 10.1155/2013/920928. Epub 2013 Jul 18.

Abstract

Hymenoptera stings are self-limiting events or due to allergic reactions. Sometimes envenomation with Hymenoptera can cause rare complications such as acute encephalopathy, peripheral neuritis, acute renal failure, nephrotic syndrome, silent myocardial infarction, rhabdomyolysis, conjunctivitis, corneal infiltration, lens subluxation, and optic neuropathy. The mechanism of peripheral nervous system damage is not clearly known. In our studied case after bee sting on face between the eyebrows with little erythema and 1 × 1 cm in size, bilateral blindness developed and gradually improved. Lateral movement of eyes was restricted with no pain. Involvement of cranial nerves including II, V, and VI was found. With conservative therapy after a year significant improvement has been achieved.

摘要

膜翅目昆虫叮咬通常是自限性事件或由过敏反应引起。有时膜翅目昆虫的毒液注入会导致罕见的并发症,如急性脑病、周围神经炎、急性肾衰竭、肾病综合征、无症状心肌梗死、横纹肌溶解、结膜炎、角膜浸润、晶状体半脱位和视神经病变。周围神经系统损伤的机制尚不清楚。在我们研究的病例中,患者眉毛间面部被蜜蜂蜇伤,有轻微红斑,大小为1×1厘米,随后出现双侧失明并逐渐好转。眼球横向运动受限但无疼痛。发现包括第II、V和VI对脑神经受累。经过一年的保守治疗,病情有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f90d/3732619/6c2d7105c17e/CRIM.EM2013-920928.001.jpg

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