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Laparoscopic Endoscopic Surgical Science Ar sokmas sonras yetikin solunum sknts sendromu [Respir Case Rep]
Respir Case Rep. 2016; 5(3): 165-168 | DOI: 10.5505/respircase.2016.39200

Ar sokmas sonras yetikin solunum sknts sendromu

Ahmet Arisoy1, Hilmi Demirkiran2, Huseyin Akdeniz3, Selami Ekin1
1Yznc Yl niversitesi
2zel stanbul Hastanesi
3zel Lokman Hekim Van Hastanesi

Bal ars veya yaban ars sokmas sonrasnda genellikle, kant, rtiker, anjiyodem ve anafilaktik reaksiyon gibi ar duyarllk reaksiyonlar grlr. Literatrde, ar sokmas sonras, myastenia gravis, periferik nrit, ensefalomiyelit, optik nrit, beyin kanamas, miyokard infarkts ve nefrotik sendrom gibi nadir olgular paylalmtr. Otuz yandaki bayan hasta tek ar sokmas sonrasnda nefes darl nedeniyle acil servisimize bavurdu. Nefes darl dnda hibir ikayetleri yoktu. Akcier grafisinde, bilateral yamal infiltrasyonlar vard. Oksijensiz alnan kan gaznda, pH 7,3, paO2 35 mmHg, paCO2 30 mmHg ve saturasyonu % 75 idi. Ekokardiyografi tamamen normaldi. Youn bakmda alnd ve non-invazif mekanik ventilasyon balanan hasta tedavi sonras tamamen dzeldi.

Anahtar Kelimeler: Yetikin solunum sknts sendromu, Yaban ars, Noninvazif ventilasyon

Adult respiratory distress syndrome after a wasp sting

Ahmet Arisoy1, Hilmi Demirkiran2, Huseyin Akdeniz3, Selami Ekin1
1Yuzuncu Yil University
2Private Istanbul Hospital
3Private Lokman Hekim Van Hospital

Hypersensitivity reactions such as itching, urticaria, angioedema, and anaphylactic reaction are usually seen after a bee or wasp sting. In the literature, rare cases such as myasthenia gravis, peripheral neuritis, encephalomyelitis, optic neuritis, cerebral hemorrhage, myocardial infarction, and nephrotic syndrome have been reported. A 33-year-old female patient was admitted to our emergency department due to the development of dyspnea after a single bee sting. She had no complaints other than dyspnea. On her X-ray, there were bilateral patchy infiltrations. In the blood gases without oxygen, the pH was 7.3, pO2 was 35 mmHg, pCO2 was 30 mmHg, and saturation was 75%. Echocardiography findings were normal. She was treated in the intensive care unit under non-invasive mechanical ventilation. She was discharged with full recovery.

Keywords: Respiratory Distress Syndrome, Adult, Wasp, Noninvasive Ventilation

Ahmet Arisoy, Hilmi Demirkiran, Huseyin Akdeniz, Selami Ekin. Adult respiratory distress syndrome after a wasp sting. Respir Case Rep. 2016; 5(3): 165-168

Sorumlu Yazar: Ahmet Arisoy, Trkiye
Makale Dili: ngilizce
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