Fatal systemic reactions, concurrent of anaphylaxis and systemic toxic reactions to hymenoptera-sting

ABSTRACT

Hymenoptera-stingcan cause localized and systemic reactions (SR). SRs such asanaphylaxis and systemictoxic reactions (STR). Itis estimated to occur in 3% of adultsand can be life-threatening. Diagnosis is based on clinical manifestations,previous of allergic history, IgE-mediated confirmation and the offending insect identification. Anaphylaxis patients should immediately receive adrenaline intramuscularly, emergency medical attention and other supporting treatment. We report a36-year-old man with fatal SRs, concurrent of anaphylaxis and systemic toxic reaction due to multiple hymenoptera-stings.