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多发黄蜂蜇伤伴瑞氏综合征表现

Multiple hornet stings with features of Reye's syndrome.

作者信息

Weizman Z, Mussafi H, Ishay J S, Shvil Y, Goitein K, Livni N, Deckelbaum R J

出版信息

Gastroenterology. 1985 Dec;89(6):1407-10. doi: 10.1016/0016-5085(85)90662-6.

DOI:10.1016/0016-5085(85)90662-6
PMID:4054532
Abstract

Hornet's venom is known to possess a variety of toxic effects. A 19-mo-old girl who developed a Reye-like syndrome following multiple stings by the Oriental hornet (Vespa orientalis) is described. She presented with encephalopathy associated with hepatomegaly, elevated transaminase levels, low prothrombin time, and hyperammonemia. Liver biopsy demonstrated microvesicular fatty infiltration and diffuse mitochondrial changes. Additional features were acute renal tubular necrosis and massive hemolysis.

摘要

已知黄蜂毒液具有多种毒性作用。本文描述了一名19个月大的女孩,她在被东方黄蜂(Vespa orientalis)多次蜇伤后出现了类似瑞氏综合征的症状。她表现为脑病,伴有肝肿大、转氨酶水平升高、凝血酶原时间缩短和高氨血症。肝脏活检显示微泡性脂肪浸润和弥漫性线粒体改变。其他特征包括急性肾小管坏死和大量溶血。

相似文献

1
Multiple hornet stings with features of Reye's syndrome.多发黄蜂蜇伤伴瑞氏综合征表现
Gastroenterology. 1985 Dec;89(6):1407-10. doi: 10.1016/0016-5085(85)90662-6.
2
Acute renal failure following multiple hornet stings.多次黄蜂蜇伤后急性肾衰竭
Nephron. 1988;49(4):319-21. doi: 10.1159/000185083.
3
Acute renal failure following hornet stings.黄蜂蜇伤后急性肾衰竭
J Trop Med Hyg. 1976 Feb;79(2):42-4.
4
Multiple hornet (Vespa orientalis) stings with fatal outcome in a child.
J Paediatr Child Health. 1990 Oct;26(5):283-5. doi: 10.1111/j.1440-1754.1990.tb01073.x.
5
Acute systemic toxic reactions caused by hornet stings.黄蜂蜇伤引起的急性全身毒性反应。
Indian Pediatr. 1988 Aug;25(8):796-8.
6
Fatal multiple organ failure following massive hornet stings.大黄蜂大量蜇伤后致命的多器官功能衰竭
J Toxicol Clin Toxicol. 1995;33(5):471-4. doi: 10.3109/15563659509013757.
7
[The wasp/mosquito syndrome].[黄蜂/蚊子综合征]
Allerg Immunol (Paris). 1999 Jun;31(6):175-84.
8
Acute renal failure following multiple wasp stings.多次黄蜂蜇伤后急性肾衰竭
J Coll Physicians Surg Pak. 2014 Nov;24 Suppl 3:S209-10.
9
Acute kidney injury due to acute cortical necrosis following a single wasp sting.单次黄蜂蜇伤后引起的急性皮质坏死导致的急性肾损伤。
Ren Fail. 2013;35(1):170-2. doi: 10.3109/0886022X.2012.741467. Epub 2012 Nov 22.
10
[Risk factors for allergy to hymenoptera stings].[膜翅目昆虫叮咬过敏的危险因素]
Allerg Immunol (Paris). 1993 Jun;25(6):220, 224-6.

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Clinical manifestations of wasp stings: a case report and a review of literature.黄蜂蜇伤的临床表现:一例病例报告及文献综述
Trop Med Health. 2022 Oct 28;50(1):82. doi: 10.1186/s41182-022-00475-8.
2
Acute renal failure following wasp sting in children.儿童黄蜂蜇伤后急性肾衰竭
Eur J Pediatr. 2009 Aug;168(8):991-4. doi: 10.1007/s00431-008-0909-5. Epub 2009 Jan 16.
3
Mass envenomations by honey bees and wasps.蜜蜂和黄蜂引起的群体性蜂蜇伤
West J Med. 1999 Apr;170(4):223-7.
4
Interrelationships of liver and brain with special reference to Reye syndrome.
J Inherit Metab Dis. 1991;14(4):436-58. doi: 10.1007/BF01797917.