PMID- 32963192
OWN - NLM
STAT- MEDLINE
DCOM- 20201110
LR  - 20201110
IS  - 0021-4884 (Print)
IS  - 0021-4884 (Linking)
VI  - 69
IP  - 8
DP  - 2020
TI  - [A CASE OF ANAPHYLAXIS DUE TO STINGING OF A Brachyponera chinensis].
PG  - 683-688
LID - 10.15036/arerugi.69.683 [doi]
AB  - The case involved a man in his forties. While working at the restaurant that the 
      patient runs, the patient experienced a stab-like pain on the left shoulder and 
      developed systemic pruritic eruptions. He was diagnosed with anaphylaxis upon 
      visiting our emergency department. Conjunctival hyperemia, lip swelling, cold 
      sweats, and nausea presented later. A cap fluorescence enzyme immunoassay using 
      the serum of the patient showed specific immunoglobulin E (IgE) positivity for 
      wasps; therefore, we hypothesized that he had anaphylaxis caused by the insect's 
      sting. Insects of the same species as that by which the patient had been stung 
      were collected and finally identified as the Asian needle ant (Brachyponera 
      chinensis). The freeze-dried insects' bodies were sonicated into powders and 
      stored for following examinations. Next, a basophil activation test was performed 
      using the patient's whole blood treated with the reagent above, which showed 
      positivity. Furthermore, a skin prick test using the same reagent showed a 
      positive result, and the reaction increased in a concentrationdependent manner. 
      Based on these results, the patient was diagnosed with anaphylaxis after a sting 
      by the ant. Based on the results of the allergen component specific IgE test, we 
      speculated that the pathogens in this case was group5 allergen of the Asian 
      needle ant. Anaphylaxis following insect stings by this ant has been reported 
      frequently in South Korea. However, it is quite rare in Japan, although the ant 
      is native to Japan. Clinicians should consider that this allergy can occur 
      indoors, unlike allergies to other types of venom.
FAU - Kimura, Tomoyuki
AU  - Kimura T
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Suzuki, Shintaro
AU  - Suzuki S
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Suganuma, Hiromitsu
AU  - Suganuma H
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Sato, Hiroki
AU  - Sato H
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Akimoto, Kaho
AU  - Akimoto K
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Kashima, Ayaka
AU  - Kashima A
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Matsunaga, Tomohiro
AU  - Matsunaga T
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Ebato, Takaya
AU  - Ebato T
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Yamamoto, Shigenori
AU  - Yamamoto S
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Uno, Tomoki
AU  - Uno T
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Sato, Haruna
AU  - Sato H
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Uchida, Yoshitaka
AU  - Uchida Y
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Fukuda, Yosuke
AU  - Fukuda Y
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Ida, Hitomi
AU  - Ida H
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Jinno, Megumi
AU  - Jinno M
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Hirai, Kuniaki
AU  - Hirai K
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Miyata, Yoshito
AU  - Miyata Y
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Honma, Tetsuya
AU  - Honma T
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Ota, Shin
AU  - Ota S
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Kusumoto, Sojiro
AU  - Kusumoto S
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Watanabe, Yoshio
AU  - Watanabe Y
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Yamamoto, Mayumi
AU  - Yamamoto M
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Tanaka, Akihiko
AU  - Tanaka A
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
FAU - Sagara, Hironori
AU  - Sagara H
AD  - Department of Medicine, Division of Allergology and Respiratory medicine, School 
      of Medicine, Showa University.
LA  - jpn
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Arerugi
JT  - Arerugi = [Allergy]
JID - 0241212
RN  - 37341-29-0 (Immunoglobulin E)
SB  - IM
MH  - Adult
MH  - *Anaphylaxis/etiology
MH  - Animals
MH  - *Ants
MH  - Bites and Stings/*complications
MH  - Humans
MH  - Immunoglobulin E
MH  - Japan
MH  - Male
MH  - Pain
OTO - NOTNLM
OT  - Brachyponera chinensis
OT  - allergen component
OT  - anaphylaxis
OT  - basophil activating test (BAT)
OT  - insect venom
EDAT- 2020/09/24 06:00
MHDA- 2020/11/11 06:00
CRDT- 2020/09/23 06:29
PHST- 2020/09/23 06:29 [entrez]
PHST- 2020/09/24 06:00 [pubmed]
PHST- 2020/11/11 06:00 [medline]
AID - 10.15036/arerugi.69.683 [doi]
PST - ppublish
SO  - Arerugi. 2020;69(8):683-688. doi: 10.15036/arerugi.69.683.