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At least 397 records · Page 22Linked to original sources
PubMedDate not supplied

Mondor's disease of the breast resulting from jellyfish sting.

OBJECTIVE: To present two cases of Mondor's disease of the breast resulting from jellyfish stings in Western Australia. CLINICAL FEATURES: A 30-year-old Caucasian woman presented with a palpable thickened cord in her right breast. The straightness of the cord suggested a thrombosed lymphatic. A 50-year-old Caucasian woman presented with an obvious palpable cord extending most of the length of her left breast. Mammography demonstrated no abnormality. Both women reported having been stung by jellyfish a month earlier. INTERVENTION AND OUTCOME: As Mondor's disease is a benign, self-limiting disease, the patients were reassured and reviewed routinely. In each case, the condition settled spontaneously over a period of several weeks. CONCLUSION: Jellyfish stings should be recognised as an unusual variant of the numerous causes which have been described for Mondor's disease.

Adult↗
PubMedDate not supplied

Envenomation by the billygoat plum stinging caterpillar (Thosea penthima).

We report the first case of envenomation by the billygoat plum stinging caterpillar, Thosea penthima Turner (Limacodidae). The sting, on the forearm, caused immediate burning pain and local wheal formation. Pain radiated up the arm and there was severe "crushing" chest pain lasting four hours. The local pain persisted for 10 hours and required opiate analgesia.

Adult↗
PubMedDate not supplied

Fatal anaphylaxis following jack jumper ant sting in southern Tasmania.

The "jack jumper" ant (Myrmecia pilosula) is a major cause of anaphylaxis in Tasmania. We describe four deaths attributed to stings by this ant between 1980 and 1999. All victims were men aged 40 years or over with significant comorbidities; two were taking angiotensin-converting enzyme inhibitors, which may increase risk of severe anaphylaxis. Three victims had known ant-sting allergy, but only one carried adrenaline, which he did not use. Another believed he was protected by previous attempts at hyposensitisation with whole ant-body extract. There is potential to prevent deaths by careful education of people with known allergy, prescribing of adrenaline for auto-injection and development of an effective hyposensitisation therapy.

Adult↗
PubMed2005

Epidemiological review of insect sting allergy in naval aviation: current policy and real-world practices.

Individuals with conditions not addressed in the physical standards section of the Navy's Manual of the Medical Department can be considered for a waiver that would allow them to continue in naval aviation. Insect sting allergy is addressed in the Navy's waiver guide; however, the actual disposition of these individuals does not coincide with published waiver policies. Our objective was to identify discrepancies, to review current clinical guidelines, and to offer recommendations for updating the Navy's waiver policy. Aviation medical records of individuals with insect sting allergies from 1985 to 2002 were reviewed. Disposition, waiver status, and allergy evaluation were investigated. The data suggest that waiver requests have been addressed not under the current waiver guidelines but instead under current clinical guidelines. New guidelines that properly reflect current diagnostic and treatment modalities were voted on by the Aeromedical Advisory Council and submitted to the Navy's Bureau of Medicine. These changes were incorporated into the Navy's aviation waiver policy guidelines.

Adult↗
PubMed1976

Diagnosis of allergy to stinging insects by skin testing with Hymenoptera venoms.

SKin testing was done on 30 patients with a history of anaphylactic reactions after a Hymenoptera sting and on 30 control subjects. The patients all had positive basophilhistamine release to one or more venoms on challenge with the specific venoms used for skin testing (honey bee, yellow jacket, white-faced hornet, yellow hornet, and Polistes). At 0.1 mug of venom/ml and at 1.0 mug of venom/ml, 75% and 100%, respectively, of the sensitive patients had a positive skin test. There was a significant (P less than 0.001) correlation between skin test and histamine release results. Of the 150 skin tests in control patients, only 1 was positive. Venom skin tests provide, for the first time, a simple, readily available technique to accurately diagnose allergy to stinging insects.

Clinical Trials as Topic↗
PubMed2000

Multiple fire ant stings: report of 3 cases and review of the literature.

Imported fire ant sting reactions are becoming an increasing problem in the United States. It is important for clinicians to be familiar with their possible cutaneous and noncutaneous presentations. We present 3 cases with multiple fire ant stings, followed by a review of the literature.

Adolescent↗
PubMed2001

Aquatic antagonists: lionfish stings.

Although lionfish can be found in all the oceans, the highest incidences of human stings appear to be in the tropics, especially in the Indo-Pacific area and Mediterranean Sea. The recent interest in tropical fish aquaria has expanded the geographic range of the stings of these animals.

Adult↗
PubMed2001

Vinegar as a disarming agent to prevent further discharge of the nematocysts of the stinging hydromedusa Olindias sambaquiensis.

Olindias sambaquiensis, known as agua viva, is an endemic hydromedusa that is distributed from latitude 23 degrees to 42 degrees south in the southwestern Atlantic Ocean and is known to cause severe stings. This is the first report of the use of vinegar in disarming O sambaquiensis nematocysts and includes preliminary observations on its use in managing the stings of hydromedusae.

Acetic Acid↗
PubMed1976

Acute renal failure following hornet stings.

Reports of acute tubular necrosis following envenomation by hornets are rare. A 38-year-old farmer presented with evidence of haemolysis and acute renal failure following multiple hornet stings (Vespa orientalis). Biopsy of skin from the site of the stings showed evidence of vasculitis. Renal biopsy showed characteristic changes of acute tubular necrosis. Intravascular haemolysis due to haemolytic properties of the hornet venom was considered to be chiefly responsible for the renal lesions in this patient.

Acute Kidney Injury↗
PubMed1992

Two cases of oral-stings by sperm bag of squid.

Two patients after eating raw squid complained of severe pain and foreign body sensation in their oral cavity. On consultation of a doctor, several small spindle-shaped stings stuck on the surface of the tongue and mucous membrane of the oral cavity were found. After all stings were pulled out, the pain was allayed and the wounds eventually healed. The foreign bodies were tentatively determined to be the sperm bag of Tadorodes pacificus. These cases suggest that fresh squids should be carefully prepared before eating them raw or "sashimi".

Adult↗
PubMed1992

Human injuries following jellyfish stings.

There are approximately 500,000 jellyfish stings every year in the Chesapeake Bay. Dr. Burnett describes the mechanism of jellyfish stings, venom components, types of reactions, diagnosis, and therapy.

Animals↗
PubMedDate not supplied

Atrial flutter following a wasp sting.

Wasp stings have been associated with a wide variety of local and systemic reactions including, rarely, tachyarrhythmias. We discuss a case of atrial flutter occurring in a 64-year-old man following a single sting in the absence of anaphylaxis. The pathogenesis is discussed and the literature reviewed.

Animals↗
PubMed2003

Silent acute myocardial infarction following a wasp sting.

Hymenoptera sting can lead to an acute myocardial infarction by different pathogenetic mechanisms depending on the presence of preexistent coronary atherosclerosis, the development of shock or the therapeutic use of epinephrine. The case of a 67-year-old man with acute myocardial infarction with ST-segment elevation after a wasp sting treated with fibrinolysis and without significant coronary atherosclerosis is reported. Of particular interest in the present case report is the silent presentation and the absence of any pharmacological interference. It follows that in any case of hymenoptera envenomation a standard ECG is advisable even when a clearly defined allergic reaction is not present.

Aged↗
PubMed2004

A rare case of intravascular coagulation after honey bee sting.

A patient presented with coagulation problems a few days after honeybee sting. The purpuric skin changes developed on the legs and buttocks. She manifested signs of hypotension with disturbance of consciousness. Allergen-specific IgE serum levels against honey bee venom antigens reached >17.5 kU/l. The platelet count was 33,000/ml . The prothrombin index decreased to 28%, prothrombine time was prolonged to 34". Fibrin degradation products were present in serum. After 10 day treatment the girl improved, but necrotic skin changes required further plastic surgery. Honeybee sting problems should be taken into account as a cause of coagulation problems.

Adolescent↗
PubMed2005

Stings and bites: what to do about envenomation injuries.

Although serious envenomation injuries are rare in the United States, all emergency workers should be prepared for them. Most severe complications occur in people with previous allergies or pre-existing conditions. Many people, especially those with prediagnosed allergies, will be capable of self-treatment prior to EMS's arrival; however, prepare for the worst. EMS personnel should know how to treat virtually any envenomation injuries with general practices, and should inform the receiving hospital so venom-specific treatment can be prepared. Crews should also know what creatures are indigenous to their areas and know what to expect when the tones go off. Be aware that a side effect of any animal bite or sting, whether venomous or not, is bacterial infection. Remind patients of this. The hospital physician will also educate them about infection. If you respond to a call but the patient refuses transport and signs a waiver, you must educate him about possible bacterial contamination from the bite or sting. Never waive a patient until he has been educated regarding his injury and still refuses transport.

Animals↗
PubMedDate not supplied

[Poisoning by bee sting].

Among the human pathologies produced by venomous animals, bee stings constitute the largest number of accidents in several countries, exceeding the mortality rate caused by other venomous animals such as snakes, spiders or scorpions. The clinical picture after the bee sting may include anaphylaxis or poisoning. The latter is produced by massive attacks and is a serious problem that may put the patient's life at risk. People that are poisoned display hemolysis, rhabdomiolysis and acute renal failure that together with other systemic failures can bring about death. The knowledge of the physiopathological mechanisms involved in the massive attack of bees is crucial for health care professionals as to date we do not have antivenoms with proven clinical efficacy. In this review we include the bee's biological aspects, venom composition and its relation with the occurrence and severity of accidents as well as epidemiological data that can be useful for this type of accidents.

Animals↗
PubMed1992

[Immunologic response of the anterior chamber in the light of observation of the presence of bee sting].

The authors present a case of a bee sting sticking for 3 days in the anterior chamber. It did not provoke any inflammatory changes except of a sector hyperemia of the iris and aqueous flare. After a surgical removal of the sting these symptoms receded. The lack of reaction to the bee poison is considered in the light of a humoral reaction and of the phenomenon of Anterior Chamber Associated Immune Deviation (ACAID) the essence of which is based on the suppression of the late type of sensitivity.

Accidents, Occupational↗
PubMedDate not supplied

[Acute disseminated encephalomyelitis due to hymenoptera stings].

INTRODUCTION: Hymenoptera stings can give rise to a variety of conditions. The most common is a self-limiting local allergic reaction, but occasionally they may produce potentially serious systemic reactions. Neurological complications are rare, but very varied and of differing degrees of severity. Some such consequences are those of a demyelinating nature, which can affect the central and/or peripheral nervous system. Their exact pathogenesis remains unknown but an autoimmune mechanism has been suggested. CASE REPORT: We report the case of a 28-year-old female who had a clinical picture compatible with acute disseminated encephalomyelitis ten days after being stung several times by a bumblebee. The diagnosis was based on findings from magnetic resonance imaging and on the clinical-radiological course after a one-year follow-up. The patient was treated with massive doses of intravenous corticosteroids and immunoglobulins, which brought about partial recovery from the neurological deficit. CONCLUSIONS: Hymenoptera stings can produce demyelinating neurological complications, presumably related to the autoimmune system, which could benefit from treatment with immunomodulators such as corticosteroids, immunoglobulins or plasmapheresis.

Adult↗