We reported a case of multiple organ dysfunction syndrome （MODS） following about 300 wasp stings. The diagnosis was based on autopsy findings of acute pulmonary edema, acute kidney injury, hepatic and cardiac dysfun...We reported a case of multiple organ dysfunction syndrome （MODS） following about 300 wasp stings. The diagnosis was based on autopsy findings of acute pulmonary edema, acute kidney injury, hepatic and cardiac dysfunction, and cerebral edema. MODS is a life-threatening complication, and should be considered a possibility after multiple wasp stings. Our autopsy helped to establish the cause of unexpected death due to wasp stings and to elucidate a possible mechanism of MODS.展开更多
This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of sev...This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of severe eye pain with redness,tearing and blurring of vision.On examination,his right eye visual acuity was 6/6 and in left eye was hand movement.There was generalized conjunctival hyperemia and cornea showing significant descemet striae.A bee stinger with surrounding infiltration noted at 2 o'clock was associated with striate keratitis.It was deeply seated at the posterior third of cornea stroma near to paracentral area.Pupil was mid-dilated with absence of relative afferent pupillary defect.There was neither hypopyon nor cataract.The posterior segment could not be visualized due to severe corneal edema.However,B-scan ultrasound was normal.Bee stinger was removed under local anaesthesia on the day of presentation.Post-operatively,patient was administered with topical moxifloxacin and topical non steroidal anti-inflammatory drugs.Three weeks later,there was resolution of cornea infiltrate with improvement of striate keratitis and his vision was improved to 1/60.However,cornea edema did not regress but ended up with bullous keratopathy.The patient has undergone descemet-stripping automated endothelial keratoplasty and his vision was improved to 6/9.We recommend early stinger removal to reduce the possible sequelae of bee sting toxicity for better visual outcome.展开更多
文摘We reported a case of multiple organ dysfunction syndrome （MODS） following about 300 wasp stings. The diagnosis was based on autopsy findings of acute pulmonary edema, acute kidney injury, hepatic and cardiac dysfunction, and cerebral edema. MODS is a life-threatening complication, and should be considered a possibility after multiple wasp stings. Our autopsy helped to establish the cause of unexpected death due to wasp stings and to elucidate a possible mechanism of MODS.
文摘This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of severe eye pain with redness,tearing and blurring of vision.On examination,his right eye visual acuity was 6/6 and in left eye was hand movement.There was generalized conjunctival hyperemia and cornea showing significant descemet striae.A bee stinger with surrounding infiltration noted at 2 o'clock was associated with striate keratitis.It was deeply seated at the posterior third of cornea stroma near to paracentral area.Pupil was mid-dilated with absence of relative afferent pupillary defect.There was neither hypopyon nor cataract.The posterior segment could not be visualized due to severe corneal edema.However,B-scan ultrasound was normal.Bee stinger was removed under local anaesthesia on the day of presentation.Post-operatively,patient was administered with topical moxifloxacin and topical non steroidal anti-inflammatory drugs.Three weeks later,there was resolution of cornea infiltrate with improvement of striate keratitis and his vision was improved to 1/60.However,cornea edema did not regress but ended up with bullous keratopathy.The patient has undergone descemet-stripping automated endothelial keratoplasty and his vision was improved to 6/9.We recommend early stinger removal to reduce the possible sequelae of bee sting toxicity for better visual outcome.
