Prise en charge de l’anaphylaxie en médecine d’urgence. Recommandations de la Société française de médecine d’urgence (SFMU) en partenariat avec la Société française d’allergologie (SFA) et le Groupe francophone de réanimation et d’urgences pédiatriques (GFRUP), et le soutien de la Société pédiatrique de pneumologie et d’allergologie (SP2A)

Gloaguen, A.; Cesaréo, E.; Vaux, J.; Valdenaire, Guillaume; Ganansia, O.; Renolleau, Sylvain; Pouessel, G.; Beaudouin, É.; Lefort, Hugues; Meininger, C.

doi:10.1007/s13341-016-0668-2

Cited by 61 publications

(12 citation statements)

References 56 publications

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“…19,25,26 In our case, the immediate combination of clinical signs (face edema, diarrhea, and vomiting) makes it possible to diagnose anaphylaxis, according to the criteria put forward by Sampson 17 and based on American and European guidelines. [27][28][29] This severe reaction with no prior exposure was caused by, on the one hand, the direct action of the biogenic amines in the venom, and, on the other hand, the mast cell degranulation caused by melittin and the "mast cell degranulation peptide" in the venom. 12,19 In line with American and European guidelines, early management by intramuscular injection of epinephrine, at a dose of 10 μg/kg for a child (repeated every 10-15 minutes until there is a response), 30 can block the activation of mast cells, reduce the cascade of mediators of anaphylaxis, and increase vascular resistance.…”

Section: Discussionmentioning

confidence: 99%

“…As recommended, the anaphylactic reaction should be monitored for at least 6 hours after the symptoms disappear. [27][28][29]31 In the case of an envenomation of more than one bee sting/kg, 9 this monitoring period will also make it possible to detect the second phase of the reaction.…”

Section: Discussionmentioning

confidence: 99%

“…In our case, the immediate combination of clinical signs (face edema, diarrhea, and vomiting) makes it possible to diagnose anaphylaxis, according to the criteria put forward by Sampson 17 and based on American and European guidelines. 27 – 29 …”

Section: Discussionmentioning

confidence: 99%

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Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings

Geoffroy

Frémery

Lambert

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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A hybrid species of Brazilian bee has proliferated on the South American continent since 1956. We describe a “killer bee” swarm attack on a 2-year-old girl in French Guiana. The patient weighed 10 kg, and approximately hundreds of bees’ stingers were removed, that is, 10 stings/kg. Our patient survived without long-term sequelae. The management of her condition required admission into intensive care for renal failure due to acute tubular necrosis and severe rhabdomyolysis. We emphasize the importance of early medical intervention, clinical surveillance, and biological monitoring at the hospital to prevent a toxic chain reaction that could prove fatal within 72 hours.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings

Geoffroy

Frémery

Lambert

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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“…Anaphylaxis is defined as "a severe and potentially fatal systemic hypersensitivity reaction occurring abruptly following exposure to an allergen" [1] [2] [3].…”

Section: Introductionmentioning

confidence: 99%

“…In children, food is the main trigger, while drugs and hymenoptera venom are more common in adults. Antibiotics, mainly beta-lactam antibiotics and nonsteroidal anti-inflammatory drugs, are the most frequently cited [1].…”

Section: Introductionmentioning

confidence: 99%

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Camara,

Touré,

Ahounou

et al. 2023

OJEM

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Anaphylaxis is a serious systemic reaction that is part of the general pattern of potentially fatal hypersensitivity reactions requiring immediate management. We report the case of a patient presenting to emergency with signs of malaria and pneumonia who was diagnosed with grade 4 anaphylaxis following antibiotic injection in the emergency department. The patient was 30 years old, with no previous history of anaphylaxis, and presented to the emergency department with fever, dry cough, headache and dizziness associated with prostration. Physical examination showed stable hemodynamics (BP = 110/80 mmHg, HR = 95 p/min,) and respiratory function with SpO 2 = 98%, HR = 22 c/min and crepitus rales at the base of the lungs. The laboratory work-up carried out in the emergency department revealed a biological inflammatory syndrome associated with hyperleukocytosis of 11,260/mm 3 , a positive thick drop with GE(+) dp = 1183 T/microlitre; blood glucose = 0.83 g/l; Covid 19 RDT = (negative). A diagnosis of malaria and pneumonia was made and antibiotic therapy (ceftriaxone) and artesunate were indicated. During the injection of ceftriaxone 1 g, the patient became agitated, followed by cardiorespiratory arrest, confirming the diagnosis of stage 4 anaphylaxis. Treatment consisted of stopping the ceftriaxone injection, external cardiac massage and ventilation, intravenous adrenaline and vascular filling, which enabled the patient to recover and stabilize. The diagnosis of anaphylaxis is clinical. Early administration of adrenaline is the mainstay of treatment.

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Toxi-infection alimentaire scombroïde collective

Derkenne

Corfec

Bertho

2017

Ann. Fr. Med. Urgence

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Cited by 61 publications

References 56 publications

Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings

Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Toxi-infection alimentaire scombroïde collective

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