Abstract

Letters1 June 1999Bee Sting DysphagiaDhiren Shah, MD and Tat-Kin Tsang, MDDhiren Shah, MDNorthwestern University Medical School; Evanston, IL 60201 (Shah)Northwestern University Medical School; Evanston, IL 60201 (Tsang)Search for more papers by this author and Tat-Kin Tsang, MDNorthwestern University Medical School; Evanston, IL 60201 (Shah)Northwestern University Medical School; Evanston, IL 60201 (Tsang)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-11-199906010-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Drs. DeGrandi-Hoffman and Hoffman for pointing out the differences between a honeybee and a yellowjacket. Given this explanation, this patient probably had an allergic reaction to a yellowjacket. However, acute to subacute treatment in the emergency department would not have changed our management.Dr. Levine recommends subcutaneous administration of epinephrine followed by intramuscular administration of diphenhydramine. It is agreed that for acute anaphylaxis, subcutaneous epinephrine and antihistamines, such as diphenhydramine, should be immediately administered. However, we did not administer these treatments because our patient had no evidence of hypotension, shortness of breath, pruritis, or uticaria and ... Author, Article, and Disclosure InformationAuthors: Dhiren Shah, MD; Tat-Kin Tsang, MDAffiliations: Northwestern University Medical School; Evanston, IL 60201 (Shah)Northwestern University Medical School; Evanston, IL 60201 (Tsang) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBee Sting Dysphagia Dhiren Shah and Tat-Kin Tsang Functional Somatic Syndromes Arthur J. Barsky and Jonathan F. Borus Recent Advances in Varicella-Zoster Virus Infection Moderator: Jeffrey I. Cohen , Discussants: Philip A. Brunell , Stephen E. Straus , and Philip R. Krause Metrics 1 June 1999Volume 130, Issue 11Page: 943KeywordsAnaphylaxisDysphagiaDyspneaEmergency departmentEpinephrineHypotensionPatientsPruritusSigns and symptomsSteroids ePublished: 15 August 2000 Issue Published: 1 June 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

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