Allergy Asthma Respir Dis.  2016 Jul;4(4):305-307. 10.4168/aard.2016.4.4.305.

Unusual reaction to Hymenoptera stings

• In SH
• Shin YC
• Hwang EK
• You HW
• Kim JI
• Park JH
• Jang AS

• KMID: 2346762
• DOI: http://doi.org/10.4168/aard.2016.4.4.305

Abstract

Reactions to Hymenoptera stings are classified into local reactions, large local reactions, systemic anaphylactic reactions, systemic toxic reactions, and unusual reactions. They are also classified into immediate and delayed reactions. The most frequent clinical patterns are large local and systemic anaphylactic reactions. The skin, and the gastrointestinal, respiratory, and cardiovascular systems can be involved. A variety of unusual or unexpected reactions, such as acute encephalopathy, acute renal failure, nephrotic syndrome, silent myocardial infarction, diffuse alveolar hemorrhage, rhabdomyolysis, and cataracts, occur in a temporal relationship to insect stings. Here, we report a 31-year-old woman with delayed generalized edema, weight gain, and unusual reactions 24 hours after bee sting.

Keyword

Hymenoptera; Bites and stings; Edema

MeSH Terms

Acute Kidney Injury
Adult
Anaphylaxis
Bees
Bites and Stings*
Brain Diseases
Cardiovascular System
Cataract
Edema
Female
Hemorrhage
Humans
Hymenoptera*
Insect Bites and Stings
Myocardial Infarction
Nephrotic Syndrome
Rhabdomyolysis
Skin
Weight Gain

Figure

• 

  Fig. 1 Body weight change before and post-bee sting. Baseline body weight is 40 kg. After bee sting, the weight is peak up to 57 kg at day 1. The weight decreased and reached plateau at day 9.

• 

  Fig. 2 (A) Generalized edema on face and extremity after bee sting. (B) Generalized edema and weight gain were subsided for 2 weeks after treatment.

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