Hymenoptera stings, Anaphylastic reaction"/> Two Cases of Oropharyngeal Edema Caused by a Bee Sting
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 147-150.
벌침에 의한 인후부 부종 2예
오왕국ㆍ김지웅ㆍ김기회ㆍ김정관ㆍ송지은ㆍ길소현ㆍ박상훈ㆍ조진웅
예수병원 내과
Two Cases of Oropharyngeal Edema Caused by a Bee Sting
Wang Guk Oh, M.D., Ji Woong Kim, M.D., Ki Hoe Kim, M.D., Jeong Gwan Kim, M.D., Ji Eun Song, M.D., So Hyun Gil, M.D., Sang Hoon Park, M.D. and Jin Woong Cho, M.D.
Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
Abstract
Hymenoptera stings can result in local and systematic symptoms due to their toxic and allergic contents. Although serious sequela are rare, the occurrence of an anaphylactic reaction is considered to be very dangerous and can potentially cause death. Oropharyngeal stings, though infrequent, can cause local edema and airway obstruction due to an anaphylactic reaction and requires immediate epinephrine, antihistamine, steroid treatment and close observation over several days. Careful observation of the oropharyngeal and laryngopharyngeal area using upper gastrointestinal endoscopy is highly recommended, especially for detection of possible edematous swelling in the arytenoid cartilage area. Here we report two cases of patients complaining pain due to edematous swelling in the arytenoid cartilage area caused by hymenoptera stings after accidentally drinking water with a bee in it. (Korean J Gastrointest Endosc 2010;41:147-150)
Key Words: Hymenoptera stings, Anaphylastic reaction
주요어: 벌침, 과민반응
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