A reminder of life-threatening reaction of hymenoptera sting cause anaphylaxis shock

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dc.contributor.authorWiryandari, Ni Putu Nitaen_US
dc.contributor.authorSuryana, Ketuten_US
dc.contributor.authorWulandari, Dewi Caturen_US
dc.date.accessioned2023-08-28T06:36:03Z
dc.date.available2023-08-28T06:36:03Z
dc.date.issued2022-07
dc.description.abstractThe prevalence of hymenoptera sting in general population still high. Large local reaction (LLR) is more common manifestation but can also causeanaphylactic shock and loss of consciousness, or even cardiac or respiratory arrest that all is defined as severe systemic sting reaction (SSR). The risk is generally considered low for future SSR in subjects with LLR but need to be considered and recognized immediately. We reporteda case of 39-year-old women was stung by a wasp when driving motorcycle and presented to emergency room with anaphylactic shock (fulfill the amended NIAID/FAAN criteria). She also stung by wasp 2 years ago and cause her left upper and lower arms became swollen slowly and improved 3 days later after treatment with allergy drugs. Electrocardiography result refer to sinus bradycardia. Significant laboratory result showed hypokalemia (2.9 mmol/l). Patient treated by injecting epinephrine intramuscularly and glucocorticoids to preventing protracted symptoms and biphasic reactions.en_US
dc.identifier.affiliationsDepartement of Internal Medicine, Wangaya Regional General Hospital, Bali, Indonesiaen_US
dc.identifier.affiliationsDepartment of Internal Medicine, Merpati Clinic, HIV and Allergy-Clinical Immunology Services Unit, Wangaya Hospital, Denpasar, Bali, Indonesiaen_US
dc.identifier.affiliationsDepartment of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesiaen_US
dc.identifier.citationWiryandari Ni Putu Nita, Suryana Ketut, Wulandari Dewi Catur. A reminder of life-threatening reaction of hymenoptera sting cause anaphylaxis shock. International Journal of Advances in Medicine. 2022 Jul; 9(7): 844-847en_US
dc.identifier.issn2349-3933
dc.identifier.issn2349-3925
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225854
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20221714en_US
dc.subjectHymenoptera stingen_US
dc.subjectLarge local reactionen_US
dc.subjectAnaphylaxis shocken_US
dc.titleA reminder of life-threatening reaction of hymenoptera sting cause anaphylaxis shocken_US
dc.typeJournal Articleen_US
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