Anaphylactic Shock Following a Fire Ant Sting: A Case Report

紅螞蟻叮咬後併發過敏性休克：一病例報告

林仙明(Sin-Ming Lam) ； 林樹基(Carlos Lam)

《中華民國急救加護醫學會雜誌》 9卷4期 (1998/12) Pp. 163-166

https://doi.org/10.30018/JECCM.199812.0006

摘要

紅媽蟻叮咬後可以引起全身性反應。如侵犯皮膚，會引起紅疹，皮膚癢，蕁麻疹或血管性水腫。如侵犯呼吸道，會引起咽喉水腫及氣喘。如侵犯心臟，會抑制心肌收縮，引起休克。如侵犯胃腸，會引起嗯心、嘔吐及失禁。但被紅碼蟻叮咬後引起過敏性休克的報告，則非常罕見。本文描述一位40歲男性，其右手被紅螞蟻叮咬了一口後，便引起過敏性休克。血清有非常高的IgE。經使用抗組織胺、升壓藥物、類固醇、支氣管擴張劑、體液補充治療後，病情快速地好轉。該病人被紅媽蟻叮咬後引起過敏性休克，可能經由過敏反應引起。

關鍵字

過敏性休克 ； 紅螞蟻叮咬

並列摘要

A generalized allergic reaction or anaphylactic reaction following a fire ant sting may involve the skin, with erythema, pruritus, urticaria, or angioedema; the respiratory tract, with laryngeal edema and bronchospasm; the cardiovascular system, with myocardial depression, hypotension, and shock; and the gastrointestinal system, with nausea, vomiting, and diarrhea. Anaphylactic shock due to a fire ant sting has rarely been reported. We describe a previously healthy 40 year-old man who developed, nausea, vomiting, diaphoresis, dizziness, hypotension, and a generalized skin rash after a single fire ant sting to his right hand. His serum immunoglobulin E (IgE) rose to 420 IU/mL. He responded to antihistamines, dopamine, corticosteroids, and fluid replacement.

並列關鍵字

anaphylactic shock ； fire ant sting