PMID- 10596991
OWN - NLM
STAT- MEDLINE
DCOM- 19991230
LR  - 20070621
IS  - 1684-1182 (Print)
IS  - 1684-1182 (Linking)
VI  - 31
IP  - 2
DP  - 1998 Jun
TI  - Acute pulmonary hemorrhage following a honeybee sting: a case report.
PG  - 133-6
AB  - A generalized allergic reaction to or anaphylaxis from honeybee sting may involve 
      the skin with erythema, puritus, urticaria, or angioedema; the respiratory tract 
      with laryngeal edema, and brochospasm; the cardiovascular system with myocardial 
      depression, hypotension, and shock; and the gastrointestinal system with nausea, 
      vomiting, and incontinence. Acute pulmonary hemorrhage following a honeybee sting 
      has never been reported. We describe a previously healthy 14-year-old girl who 
      developed acute pulmonary hemorrhage, hypotension, and generalized skin rash 
      after a single honeybee sting on her right fourth finger. Her serum 
      immunoglobulin E (IgE) was high (360 IU/mL). Chest X-ray revealed perihilar 
      alveolar infiltrative lesions. Metabolic acidosis and hypoxemia were also found. 
      After treatment with antihistamines, dopamine, corticosteroids, bronchodilaters, 
      fluid replacement, and mechanical ventilation, her condition improved 
      dramatically. A hypersensitivity reaction to honeybee venom is the most likely 
      explanation for this unusual case of acute pulmonary hemorrhage.
FAU - Lam, S M
AU  - Lam SM
AD  - Department of Internal Medicine, Chi-Mei Foundation Hospital, Yung Kang City, 
      Tainan, Taiwan, ROC.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - J Microbiol Immunol Infect
JT  - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi
JID - 100956211
SB  - IM
MH  - Acute Disease
MH  - Adolescent
MH  - Animals
MH  - *Bees
MH  - Female
MH  - Hemorrhage/*etiology
MH  - Humans
MH  - Insect Bites and Stings/*complications
MH  - Lung Diseases/*etiology
EDAT- 1999/12/22 00:00
MHDA- 1999/12/22 00:01
CRDT- 1999/12/22 00:00
PHST- 1999/12/22 00:00 [pubmed]
PHST- 1999/12/22 00:01 [medline]
PHST- 1999/12/22 00:00 [entrez]
PST - ppublish
SO  - J Microbiol Immunol Infect. 1998 Jun;31(2):133-6.