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Yeungnam Univ J Med > Volume 33(2); 2016 > Article
Yeungnam University Journal of Medicine 2016;33(2):134-137.
DOI: https://doi.org/10.12701/yujm.2016.33.2.134    Published online December 31, 2016.
Lower limb ischemia after bee sting.
Hee Yun Ryu, Min Seok Yoo, Ji Young Park, Jae Woong Choi, Sung Kee Ryu, Seunghwan Kim, Se Jin Lee, Young Bin Kim
Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea. cisamoe@gmail.com
Abstract
Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.
Key Words: Bee venom, Ischemia, Thrombolytic therapy, Balloon angioplasty
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