Abstract
Hymenoptera-sting can cause localized and systemic reactions (SR). SRs such as anaphylaxis and systemic toxic reactions (STR). It is estimated to occur in 3% of adults and 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 a 36-year-old man with fatal SRs, concurrent of anaphylaxis and systemic toxic reaction due to multiple hymenoptera-stings.
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