DOI QR코드

DOI QR Code

Lower limb ischemia after bee sting

  • Ryu, Hee Yun (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Yoo, Min Seok (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Park, Ji Young (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Choi, Jae Woong (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Ryu, Sung Kee (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Kim, Seunghwan (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Lee, Se Jin (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine) ;
  • Kim, Young Bin (Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
  • 투고 : 2015.03.04
  • 심사 : 2015.06.26
  • 발행 : 2016.11.18

초록

Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.

키워드

참고문헌

  1. Ceyhan C, Ercan E, Tekten T, Kirilmaz B, Onder R. Myocardial infarction following a bee sting. Int J Cardiol 2001;80:251-3. https://doi.org/10.1016/S0167-5273(01)00477-6
  2. El Husseiny M, Karam L, Maalouly G, Tabet G. Severe lower limb ischemia after bee stings. Ann Vasc Surg 2011;25:269.e5-7.
  3. Lee JH, Lee YK, Ma SK, Kim SW, Kim NH, Kim DH, et al. Acute renal failure associated with rhabdomyolysis following hornet stings. Korean J Med 2006;71(Suppl 3):S1079-83. Korean.
  4. Bindu CB, Manuprakash SK, Srinivasa BS. Acute myocardial injury in multiple bee stings - a case report. Int J Med Sci Public Health 2013;2:1107-9. https://doi.org/10.5455/ijmsph.2013.200620132
  5. Huh SY, Yoo BG, Kim MJ, Kim JK, Kim KS. Cerebral infarction after honey bee venom acupuncture. J Korean Geriatr Soc 2008;12:50-2. Korean.
  6. Petroianu G, Liu J, Helfrich U, Maleck W, Rufer R. Phospholipase A2-induced coagulation abnormalities after bee sting. Am J Emerg Med 2000;18:22-7. https://doi.org/10.1016/S0735-6757(00)90042-1
  7. Greif M, Pohl T, Oversohl N, Reithmann C, Steinbeck G, Becker A. Acute stent thrombosis in a sirolimus eluting stent after wasp sting causing acute myocardial infarction: a case report. Cases J 2009;2:7800. https://doi.org/10.4076/1757-1626-2-7800
  8. Jung JW, Jeon EJ, Kim JW, Choi JC, Shin JW, Kim JY, et al. A fatal case of intravascular coagulation after bee sting acupuncture. Allergy Asthma Immunol Res 2012;4:107-9. https://doi.org/10.4168/aair.2012.4.2.107
  9. Gawlik R, Rymarczyk B, Rogala B. A rare case of intravascular coagulation after honey bee sting. J Investig Allergol Clin Immunol 2004;14:250-2.
  10. Mingomataj EC, Bakiri AH. Episodic hemorrhage during honeybee venom anaphylaxis: potential mechanisms. J Investig Allergol Clin Immunol 2012;22:237-44.

피인용 문헌

  1. 다발성 벌 자상에 의한 길랑 바레 증후군 1례 vol.16, pp.1, 2016, https://doi.org/10.22537/jksct.16.1.57