Respir Case Rep. 2016; 5(3): 165-168 | DOI: 10.5505/respircase.2016.39200

Adult respiratory distress syndrome after a wasp sting

Ahmet Arisoy¹, Hilmi Demirkiran², Huseyin Akdeniz³, Selami Ekin^1
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

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Arý sokmasý sonrasý yetiþkin solunum sýkýntýsý sendromu

Ahmet Arisoy¹, Hilmi Demirkiran², Huseyin Akdeniz³, Selami Ekin^1
1Yüzüncü Yýl Üniversitesi
²Özel Ýstanbul Hastanesi
³Özel Lokman Hekim Van Hastanesi

Bal arýsý veya yaban arýsý sokmasý sonrasýnda genellikle, kaþýntý, ürtiker, anjiyoödem ve anafilaktik reaksiyon gibi aþýrý duyarlýlýk reaksiyonlarý görülür. Literatürde, arý sokmasý sonrasý, myastenia gravis, periferik nörit, ensefalomiyelit, optik nörit, beyin kanamasý, miyokard infarktüsü ve nefrotik sendrom gibi nadir olgular paylaþýlmýþtýr. Otuz üç yaþýndaki bayan hasta tek arý sokmasý sonrasýnda nefes darlýðý nedeniyle acil servisimize baþvurdu. Nefes darlýðý dýþýnda hiçbir þikayetleri yoktu. Akciðer grafisinde, bilateral yamalý infiltrasyonlarý vardý. Oksijensiz alýnan kan gazýnda, pH 7,3, paO2 35 mmHg, paCO2 30 mmHg ve saturasyonu % 75 idi. Ekokardiyografi tamamen normaldi. Yoðun bakýmda alýndý ve non-invazif mekanik ventilasyon baþlanan hasta tedavi sonrasý tamamen düzeldi.

Anahtar Kelimeler: Yetiþkin solunum sýkýntýsý sendromu, Yaban arýsý, Noninvazif ventilasyon

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