Hornet sting induced systemic allergic reaction and large local reaction with bulle formation and rhabdomyolysis.
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.
Lin
Chi-Chuan
CC
Department of Emergency Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC. bearuncle@yahoo.com
Chang
Ming-Yang
MY
Lin
Ja-Lian
JL
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
D000305:Adrenal Cortex Hormones; D018926:Anti-Allergic Agents; D006634:Histamine H1 Antagonists; D014862:Wasp Venoms; D003533:Cyproheptadine