蜜蜂蜇伤后急性下肢缺血1例

IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Vascular and Endovascular Surgery Pub Date : 2023-01-01 DOI:10.4103/ijves.ijves_12_23
Jayesh Patel, Arya Patel, Shivangi Jha, Ketul S Barot, Pratiksha Patel, Dwisha Poptani
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引用次数: 0

摘要

正如我们的病例报告所示,蜜蜂蜇伤会引起严重的过敏反应,有时甚至是致命的。这些反应会在被叮咬后立即发生。我们报告一个病例动脉闭塞和严重缺血在下肢几个小时后,多次蜜蜂蜇伤。男性,67岁,高血压和糖尿病15年已知病例,最近诊断为甲状腺功能减退,以全身多处蜜蜂蜇伤就诊于急诊科。患者双侧下肢水肿,左脚发黑,为渐进式。未见踏板搏动。急诊治疗后,患者行ct血管造影,提示双侧胫骨前动脉、胫骨后动脉和足背动脉远三分之一处血栓闭塞,给予全身溶栓和抗凝治疗。
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A Rare Case of Acute Lower Limb Ischemia following Bee Sting
Bee sting entails allergic reaction that can be severe, sometimes even lethal as seen in our case report. These reactions can occur immediately after being stung. We report a case with arterial occlusion and severe ischemia in the lower limb a few hours after multiple bee stings. A 67-year-old male, a known case of hypertension and diabetes mellitus since 15 years and recently diagnosed with hypothyroidism, presented to the emergency department with multiple bee stings all over the body. Hence, he had developed bilateral lower limb edema with blackening of the left foot, which was gradually progressive in nature. Pedal pulsation were not palpable. After emergency treatment patient was subjected to Computed Tomography Angiography, suggestive of bilateral thrombotic occlusion of distal third of anterior tibial artery, posterior tibial artery and dorsalis pedis artery .patient was treated with systemic thrombolytic therapy and Anticoagulation.
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审稿时长
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