title: Hornet sting induced systemic allergic reaction and large local reaction with bulle formation and rhabdomyolysis.
abstract: A 41-yr-old, previously healthy male was stung once by a hornet. The patient had no history of allergy or hornet stings. Physical examination revealed swelling of the right side of his body with blister formation on the extremities. Rhabdomyolysis developed. Treatment included corticosteroids, antihistamines, and cyproheptadine. The patient was discharged without sequellae after being hospitalized for 7 days.
authors.affiliation: Department of Emergency Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC. bearuncle@yahoo.com
authors.forename: Chi-Chuan
authors.initials: CC
authors.lastname: Lin
authors.forename: Ming-Yang
authors.initials: MY
authors.lastname: Chang
authors.forename: Ja-Lian
authors.initials: JL
authors.lastname: Lin
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000818:Animals; D018926:Anti-Allergic Agents / Q000627:therapeutic use; D001768:Blister / Q000188:drug therapy / Q000209:etiology*; D003533:Cyproheptadine / Q000627:therapeutic use; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D006967:Hypersensitivity / Q000188:drug therapy / Q000209:etiology*; D007299:Insect Bites and Stings / Q000150:complications*; D008297:Male; D012206:Rhabdomyolysis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome; D014862:Wasp Venoms / Q000506:poisoning*; D014863:Wasps
chemical_list: D000305:Adrenal Cortex Hormones; D018926:Anti-Allergic Agents; D006634:Histamine H1 Antagonists; D014862:Wasp Venoms; D003533:Cyproheptadine