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黄蜂多次蜇伤后发生的库尼斯综合征与多器官功能衰竭

Kounis Syndrome and Multiorgan Failure Following Multiple Wasp Stings.

作者信息

Navaradnam Piratheepan, Suganthan Navaneethakrishnan, Kumanan Thirunavukarasu, Sujanitha Vathulan, Mayorathan Uruthirapasupathi

机构信息

Faculty of Medicine, Teaching Hospital Jaffna, Jaffna, LKA.

Medicine, University of Jaffna, Jaffna, LKA.

出版信息

Cureus. 2021 Apr 21;13(4):e14606. doi: 10.7759/cureus.14606.

DOI:10.7759/cureus.14606
PMID:34040907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8139607/
Abstract

Wasp and bee stings are common in Sri Lanka, and systemic envenomation causes a spectrum of clinical manifestations that includes simple local allergic reaction to life-threatening multiple organ injury or failure. However, wasp toxin-induced acute myocardial infarction is very rare in the literature. Here, we describe a pregnant lady with mass wasp stings who developed toxin-induced acute myocardial infarction with multiorgan injury. The treating physician should anticipate the complications of massive envenomation following multiple wasp stings.

摘要

在斯里兰卡,黄蜂和蜜蜂蜇伤很常见,全身中毒会引发一系列临床表现,包括从简单的局部过敏反应到危及生命的多器官损伤或衰竭。然而,黄蜂毒素诱发的急性心肌梗死在文献中非常罕见。在此,我们描述一位被大量黄蜂蜇伤的孕妇,她出现了毒素诱发的急性心肌梗死并伴有多器官损伤。治疗医生应预见到多次黄蜂蜇伤后大量中毒的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/b22c070adb18/cureus-0013-00000014606-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/7908d7b046bf/cureus-0013-00000014606-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/e848ead5c05d/cureus-0013-00000014606-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/99a4556cd5e1/cureus-0013-00000014606-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/732a0b51088f/cureus-0013-00000014606-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/b22c070adb18/cureus-0013-00000014606-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/7908d7b046bf/cureus-0013-00000014606-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/e848ead5c05d/cureus-0013-00000014606-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/99a4556cd5e1/cureus-0013-00000014606-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/732a0b51088f/cureus-0013-00000014606-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/8139607/b22c070adb18/cureus-0013-00000014606-i05.jpg

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本文引用的文献

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Two Cases of Acute Kidney Injury Due to Multiple Wasp Stings.两例因多次黄蜂蜇伤导致的急性肾损伤
Wilderness Environ Med. 2017 Sep;28(3):249-252. doi: 10.1016/j.wem.2017.05.007. Epub 2017 Jul 18.
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A case of Kounis syndrome after a hornet sting and literature review.一例黄蜂蜇伤后发生的库尼斯综合征及文献综述
BMC Res Notes. 2014 Dec 3;7:867. doi: 10.1186/1756-0500-7-867.
3
Multiple organ dysfunction syndrome due to massive wasp stings: an autopsy case report.蜂蜇伤致多器官功能障碍综合征 1 例尸检报告
天然毒素与“同一健康”:综述
Sci One Health. 2023 Mar 7;1:100013. doi: 10.1016/j.soh.2023.100013. eCollection 2022 Nov.
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Exploring Variations in Etiology and Clinical Presentations of Kounis Syndrome Across Pediatric and Adult Populations: A Comprehensive Review.探索儿童和成人人群中库尼斯综合征病因及临床表现的差异:一项综述
Cureus. 2024 Mar 16;16(3):e56249. doi: 10.7759/cureus.56249. eCollection 2024 Mar.
5
Postmortem Biochemistry and Immunohistochemistry in Anaphylactic Death Due to Hymenoptera Sting: A Forensic Case Report.蜂类蜇刺致过敏性死亡的死后生物化学和免疫组织化学研究:一例法医案例报告。
Int J Environ Res Public Health. 2023 Apr 25;20(9):5640. doi: 10.3390/ijerph20095640.
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Kounis syndrome following multiple wasp stings: A case report.多次黄蜂蜇伤后发生的库尼斯综合征:一例报告。
Clin Case Rep. 2023 Mar 14;11(3):e7026. doi: 10.1002/ccr3.7026. eCollection 2023 Mar.
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Analysis of a Case of Facial Nerve Injury Caused by Bee Sting in a Child.儿童蜂蜇伤致面神经损伤1例分析
Risk Manag Healthc Policy. 2023 Feb 20;16:247-253. doi: 10.2147/RMHP.S381303. eCollection 2023.
Chin Med J (Engl). 2012 Jun;125(11):2070-2.
4
Kounis syndrome: a new twist on an old disease.库尼斯综合征:一种旧病的新情况。
Future Cardiol. 2011 Nov;7(6):805-24. doi: 10.2217/fca.11.63.
5
Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm?库尼斯综合征(过敏性心绞痛和过敏性心肌梗死):一种自然范例?
Int J Cardiol. 2006 Jun 7;110(1):7-14. doi: 10.1016/j.ijcard.2005.08.007. Epub 2005 Oct 24.