[A severe anaphylactic shock caused by spraying the oak processionary caterpillar (Thaumetopoea processionea) in North Brabant].
The processionary caterpillar, Thaumetopoea processionea, caused much inconvenience in the Netherlands in 1996-1997; from the medical point of view, mostly itching and skin rash. After contact with stinging bristles of the caterpillar and with the pesticide Dimilin SC-48, of which diflubenzurone is the active agent, a 72-year-old man had to be resuscitated because of ventricular fibrillation caused by hypotension related to relative underfilling and low systemic vascular resistance. He made a good recovery. Such life-threatening situations can be prevented by publicly announcing plague control measures and closing of the affected areas to the population, with ample margins.
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St. Joseph Ziekenhuis, afd. Cardiologie, Veldhoven.
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D000368:Aged; D000707:Anaphylaxis / Q000209:etiology* / Q000628:therapy; D000818:Animals; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004132:Diflubenzuron / Q000009:adverse effects*; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D007300:Insect Control / Q000379:methods; D007915:Lepidoptera; D008297:Male; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
D004132:Diflubenzuron
Ernstige anafylactische reactie in samenhang met de bestrijding van de eikenprocessierups (Thaumetopoea processionea) in Noord-Brabant.