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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.

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/47e5/8139607/7908d7b046bf/cureus-0013-00000014606-i01.jpg

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