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At least 415 records · Page 23Linked to original sources
PubMed2006

Cerebrovascular manifestations in scorpion sting: a case series.

Cerebrovascular manifestations are uncommon presentations of scorpion sting in the Indian subcontinent. A prospective study was carried out on 50 patients with scorpion sting referred to the Government General Hospital during the period from April 2004 to March 2005. In all the patients, detailed history, physical examination with a specific neurological examination and routine biochemical testing and fundus examination were done. Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) were done in cases with neurological deficit. All these patients also underwent a complete hematological, rheumatologic and cardiovascular work-up for stroke. Cerebrovascular involvement was noted in four patients (8%). Hemorrhagic stroke was noted in two patients (4%) and thrombotic stroke was noted in two patients (4%). The mean time of presentation of neurological symptoms was 2 days. Stroke has been a common presentation in our series (8%). Contrary to world literature, there have been no reports of cranial nerve palsies or neuromuscular involvement in our series.

Adolescent↗
PubMed2006

[Anemonia sulcata sting].

A two-year-old child was stung by a sea anemone of the Sulcata type, in the scrotum. The natural habitat of this sea anemone is shallow waters in the rocks on beaches. The sting of the sea anemone is uncommon and usually causes slight local manifestations, however, in more sensitive areas of the body a stronger reaction occurs. A sting in the scrotum causes a burn with harsh local manifestations including swelling, redness and pain requiring hospitalization. The only treatment is symptomatic. In all cases recuperation is complete without any scaring. This case is unique because no outer clothing, such as the protection of a bathing suit, was used.

Animals↗
PubMed2006

Corneal injury by bee sting with retained stinger--a case report.

OBJECTIVE: To report a rare case of corneal injury by bee sting with its complication and management. MATERIAL AND METHOD: A 3-year-old boy, who was attacked by a swarm of bees, was referred for the right eye's corneal ulcer evaluation. RESULTS: Two stingers were found and completely removed with jeweler forceps. Corneal epithelial defect, corneal edema, secondary bacterial keratitis, heterochromia iridis, and internal ophthalmoplegia were identified The corneal edema markedly improved 3 days after removing the retained bee stingers and treatment by topical antibiotics and steroids. The patient was evaluated after 1 week and 1 month and was found with permanent central corneal scar particularly at the area corresponding to the retained stinger The patient had subsequently localized traumatic anterior subcapsular cataract corresponding to where the stinger had penetrated the lens. CONCLUSION: Corneal bee sting injury is an uncommon ocular trauma, but can result in severe sight threatening complication. Even though the response of corneal edema is well inclined to topical steroid, awareness in adjusting the clinical treatment for the particular case needs a scrutinized investigation of the infection.

Animals↗
PubMed1990

Treatment of a pigmented lesion induced by a Pelagia noctiluca sting.

A young man had persistent hyperpigmentation on the face following a jellyfish (Pelagia noctiluca) sting four years previously. This localized lesion resolved within forty days after topical hydroquinone (1.8 percent) therapy was instituted. This case is presented to demonstrate that persistent hyperpigmentation occurring after coelenterate stings can be treated with a topical bleaching agent.

Administration, Cutaneous↗
PubMed1990

Acute renal failure due to multiple bee stings--case reports.

This report deals with a father and his son who developed acute renal failure following multiple bee stings. The renal lesion in these patients appears to be due to rhabdomyolysis caused by the bee venom. The other mechanisms are also discussed. The need for clinicians to be aware of acute renal failure as a complication of bee stings is stressed.

Acute Kidney Injury↗
PubMedDate not supplied

[Scorpion sting (Euscorpius, sp.) in Italy and review of scorpionism].

Although they are very common arachnids, the scorpions (Euscorpius, sp.) do not constitute a sanitary problem in Italy, given that their sting determines only local effects. Scorpionism can anyway verify itself following sting exemplaries in Italy with imported gaods or caused by Buthus occitanus, that lives in the south of France. In this review the Authors treat briefly the biology and the toxicology of scorpions, describing the clinical picture of Scorpionism and the relative therapy.

Animals↗
PubMed1990

[Insect sting allergy--indication of desensitization and problems in evaluating the therapy].

The hyposensitization in IgE-mediated insect venom reactions is presently the sole causal method of treatment. In more than 90% it is possible to prevent life-threatening anaphylactic reactions after insect stings. Essential, hitherto unresolved or only partly resolved questions include, for instance, objective parameters of success and, in this connection, the necessary duration of therapy. The determination and assessment of the course of specific IgE- and IgG-antibodies with the venom skin titration yield, for the single case, no absolutely safe information regarding the therapeutic effect. An alternative is the provocative sting under clinical conditions, the limitation chiefly results from personal and temporal restrictions.

Antibodies↗
PubMedDate not supplied

[Therapeutic application of anesthetic blocks in weever-fish stings].

Five cases of weaver-fish sting (weaver Trachinus) are described. All patients presented severe pain and peripheral vascular disorders. In 4 cases the sting was in the upper limb and treated with brachial plexus axillary block. One patient had been stung in the foot and treated with epidural continuous block with catheter: In all cases bupivacaine 0.5% was employed and evolution was good 24-48 hours later. We conclude that anesthetic blocks should be included in the symptomatic treatment of those cases, that is: steroids, antihistaminics, calcium, analgesic agents, antibiotics, and antitetanic vaccine.

Adult↗
PubMed1989

[Insect sting allergy--clinical aspects, diagnosis and therapy].

Systemic allergic reactions following insect stings, most often by Hymenoptera (honey bee, wasp), are usually of the immediate type and thus mediated by venom specific IgE-antibodies. The most frequent clinical symptoms are: Urticaria, angioedema, asthma and anaphylactic shock. While up to 4% of individuals in epidemiological surveys give a history of systemic allergic reactions following Hymenoptera sings, fatal cases are extremely rare. Diagnosis is based on history, skin test and estimation of venom specific serum IgE-antibodies (RAST). For treatment of mild systemic reactions antihistamines are often sufficient. In all cases with respiratory and/or cardiovascular symptoms adrenalin must be given, either by inhalation or by injection. All patients with a history of systemic reactions of Hymenoptera stings have to be instructed in prophylactic measures and must receive emergency medications including adrenalin. The efficacy of venom immunotherapy is well documented, but this treatment is expensive: It is therefore mainly indicated in patients with a history of severe systemic reactions and a high degree of exposure.

Anaphylaxis↗
PubMed1985

Bee sting anaphylaxis in an urban population of South Australia.

The clinical manifestations and circumstances of bee sting anaphylaxis have been studied retrospectively in 98 subjects. Most reactions occurred in children but the most severe reactions were seen in adult males, of whom 7 lost consciousness and 2 required cardiopulmonary resuscitation. Most stings causing anaphylaxis occurred on the unprotected feet whilst the subject was on lawn in the afternoons in December, January and February when the maximum daily temperature was between 20 and 30 degrees C. This is the temperature range when bees are particularly active in gathering pollen. However, a significantly greater frequency of anaphylactic reactions occurred at higher temperatures when bees are less active, suggesting that high environmental temperature may predispose the individual to greater exposure to bees or possibly to anaphylactic reactions per se. The presence of atopy did not appear to predispose subjects to bee venom hypersensitivity. Considerable anxiety and lifestyle alteration were identified in some subjects. The alleviation of this anxiety is considered an appropriate indication for bee venom immunotherapy.

Adolescent↗
PubMed1979

The use and interpretation of RAST to stinging insect venoms.

Quality controlled, standardized RAST systems for five stinging insect venoms are described. These systems were evaluated using 375 sera from insect reactive patients from six diverse geographic regions. Ninety-four percent of patients with recent histories of systemic allergic reactions to stings were positive to at least one venom while 4 percent of normal local reactors were positive. The cross reactions between honey bee and vespid venoms were studied by RAST inhibition. A quantitative method for interpretation of venom RAST is presented to account for cross-reactivities and the approach to diagnosis is discussed.

Animals↗
PubMed1983

[Fatal bee sting: 1st report of IgG4-mediated anaphylactic shock].

The author reports on a 39 year-old male patient with allergic asthma who died several hours after a bee sting in a state of shock. While IgE antibodies were not present, distinct deposits of IgG4 antibodies in the kidney and lung were demonstrated for the first time after a bee sting. The intention of this report is to stress the importance of hyposensibilisation of patients with an allergic condition after determination of the relevant class or subclass of immunoglobulins.

Adult↗
PubMed1981

[Significance of skin test and RAST in the diagnosis of insect sting allergy (author's transl)].

46 patients who had an unusually severe reaction after bee or wasp sting were examined by skin testing and determination of specific IgE antibodies. In this way 10 cases of bee venom hypersensitivity and 13 cases of wasp venom hypersensitivity were diagnosed. Thus it may be claimed to prove the existence of specific IgE antibodies in each patient who showed a systemic or intense local reaction after an insect sting.

Anaphylaxis↗
PubMed1993

Stroke following scorpion sting.

A 30 year old male presented with crossed buccofacial apraxia, apraxia for speech, Left UMN facial palsy and hemiplegia following scorpion sting. A cerebrovascular accident can develop following a scorpion sting due to venom-induced cerebral thrombosis.

Adult↗
PubMed1993

An epidemic of caterpillar sting dermatitis in a rural West Virginia community.

During a five-week interval which began May 1991, 19 patients presented to a community health center in a rural West Virginia community with a painful dermatitis. The dermatitis was caused by exposure to a single species of caterpillar, Hemileuca maia, larva of the buck moth. The caterpillars were apparently especially abundant during the period. Epidemics of caterpillar stings rarely have been reported. No previous epidemics of stings by the buck moth caterpillar have appeared in the literature.

Adolescent↗
PubMed1977

Maintenance of protection in patients treated for stinging insect hypersensitivity: a booster injection program.

A program of annual booster injections of mixed stinging insect whole body extract was given to 133 patients who had previously had three years or more of immunological treatment for systemic reactions of Hymenoptera stings. Two patients who were restung had mild symptoms that were evidenced by a few scattering hives with itching. No patient on a dose of 0.2 ml of 1:10 dilution extract had any reaction when they were restung. It is believed, therefore, that this program merits continuation with that dosage for a period long enough to determine its true effectiveness. There is some indication that this is an improvement over the program which stops treatment after three years. There is further support for the belief that this condition and the treatment are dose related. There is also evidence for my belief that this sensitivity, and the treatment, differ from the usual atopic sensitivity in antibody-antigen response.

Evaluation Studies as Topic↗
PubMed1995

Serum sickness reaction following multiple insect stings.

BACKGROUND: Anaphylaxis is the most common systemic allergic reaction caused by stinging insects. Serum sickness reactions occur much less frequently. OBJECTIVE: To determine the level of venom-specific IgG and IgE antibodies during and after a serum sickness reaction to vespid venom. METHODS: Case report; ELISA determination of venom-specific IgG and IgE; complement levels and tests for immune complexes were performed. RESULTS: We report the case of a 66-year-old woman who developed a serum sickness reaction nine days after receiving multiple vespid stings. She developed urticaria, angioedema, fever, and arthralgias. She had elevated IgG and IgE venom-specific titers which declined during the recovery phase. Complement levels were normal and tests for immune complexes were negative. She was successfully treated with venom-specific immunotherapy without any serum sickness reaction. CONCLUSIONS: A serum sickness reaction with elevated venom-specific IgG and IgE is reported with successful immunotherapy.

Aged↗
PubMed1996

An unusually severe bee-sting allergic reaction in a bee keeper boy.

Honey bee sting allergy is not a new problem, nor is venom immunotherapy a new solution. Advances in scientific and immunologic theory and technology have been solved many problem. This paper report an unusually severe bee sting allergy in a son of a bee keeper.

Aminophylline↗