title: Transient Coagulopathy Due to Wasp Sting: A Case Report.
abstract: BACKGROUND
  Insect venom anaphylaxis is a potentially life-threatening disorder. Transient coagulopathy in insect venom anaphylaxis is a rare phenomenon.
  
  
  METHODS
  A 41-year-old man presented to the Emergency Department (ED) with hypotension after a run in a park. History and examination revealed signs of anaphylactic shock. A deranged coagulation profile with a normal platelet count led to the diagnosis of wasp sting anaphylaxis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Transient deranged coagulation profile with a normal platelet count may arise from insect venom anaphylaxis. This specific finding may aid the emergency physician in making a diagnosis of anaphylactic shock in an otherwise healthy patient presenting with shock with no apparent cause.
authors.affiliation: Emergency Department, Tan Tock Seng Hospital, Singapore.
authors.forename: Jeremy Shaowei
authors.initials: JS
authors.lastname: Mong
authors.affiliation: Emergency Department, Tan Tock Seng Hospital, Singapore.
authors.forename: Chee Kheong
authors.initials: CK
authors.lastname: Ooi
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000209:etiology; D000818:Animals; D018926:Anti-Allergic Agents / Q000494:pharmacology / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000494:pharmacology / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000209:etiology; D004155:Diphenhydramine / Q000494:pharmacology / Q000627:therapeutic use; D004636:Emergency Service, Hospital / Q000458:organization & administration; D004837:Epinephrine / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000494:pharmacology / Q000627:therapeutic use; D007022:Hypotension / Q000209:etiology; D007299:Insect Bites and Stings / Q000150:complications*; D008297:Male; D013575:Syncope / Q000209:etiology; D013610:Tachycardia / Q000209:etiology; D014862:Wasp Venoms / Q000009:adverse effects; D014863:Wasps / Q000472:pathogenicity*
chemical_list: D018926:Anti-Allergic Agents; D000893:Anti-Inflammatory Agents; D014862:Wasp Venoms; D004155:Diphenhydramine; D006854:Hydrocortisone; D004837:Epinephrine
keywords: anaphylaxis; coagulopathy; insect venom; shock