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Transient Coagulopathy Due to Wasp Sting: A Case Report.

Jeremy Shaowei Mong¹, Chee Kheong Ooi¹

¹Emergency Department, Tan Tock Seng Hospital, Singapore.

The Journal of Emergency Medicine

|December 22, 2016

Summary

Insect venom anaphylaxis can cause temporary blood clotting issues. Emergency physicians should consider insect sting reactions in patients with unexplained shock and abnormal coagulation tests.

Keywords:

anaphylaxis coagulopathy insect venom shock

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Area of Science:

Emergency Medicine
Toxicology
Hematology

Background:

Insect venom anaphylaxis is a severe, potentially fatal allergic reaction.
Transient coagulopathy (abnormal blood clotting) is an uncommon but recognized complication.

Observation:

A 41-year-old male presented with hypotension and signs of anaphylactic shock post-insect sting.
Laboratory results revealed a deranged coagulation profile with a normal platelet count.

Findings:

The case highlights a rare presentation of insect venom anaphylaxis associated with transient coagulopathy.
This specific coagulation abnormality, with normal platelets, can be a diagnostic clue.

Implications:

Emergency physicians must consider insect sting anaphylaxis in patients with unexplained shock and coagulopathy.
Recognizing this association can expedite diagnosis and appropriate management of anaphylactic shock.