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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.
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.
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