Reacción de hipersensibilidad tardía asociada a la picadura de medusa

Diana Paola Socha Herrera , Sebastián Pérez Muñoz , Diana Alexandra Garzón Alfaro
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Abstract

A case is presented involving a patient who sought medical attention due to the appearance of inflammatory skin lesions 10 days after a jellyfish sting. The symptoms progressed to severe bronchospasm, and respiratory failure, necessitating orotracheal intubation and management in the intensive care unit (ICU), considering a delayed hypersensitivity reaction. Initiation of steroid pulses was deemed necessary, leading to progressive improvement, subsequent liberation from invasive ventilatory support, and discharge from the intensive care unit. Despite the low frequency of appearance, the severity of these reactions that can put the patient's life at risk makes it necessary to know their pathophysiology and management.
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与水母蜇伤有关的迟发性超敏反应
本文介绍了一个病例,患者在被水母蜇伤 10 天后,因皮肤出现炎症病变而就医。症状发展为严重的支气管痉挛和呼吸衰竭,考虑到是迟发性超敏反应,必须进行气管插管并在重症监护室(ICU)进行治疗。考虑到这是一种迟发性超敏反应,有必要启动类固醇脉冲治疗,结果病情逐渐好转,随后脱离了有创通气支持,并离开了重症监护室。尽管这种反应出现的频率很低,但其严重性可危及患者的生命,因此有必要了解其病理生理学和处理方法。
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