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- Jeremy Shaowei Mong and Chee Kheong Ooi.
- Emergency Department, Tan Tock Seng Hospital, Singapore.
- J Emerg Med. 2017 Apr 1; 52 (4): e115-e116.
BackgroundInsect venom anaphylaxis is a potentially life-threatening disorder. Transient coagulopathy in insect venom anaphylaxis is a rare phenomenon.Case ReportA 41-year-old man presented to the Emergency Department (ED) with hypotension after a run in a park. History and examination revealed signs of anaphylactic shock. A deranged coagulation profile with a normal platelet count led to the diagnosis of wasp sting anaphylaxis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Transient deranged coagulation profile with a normal platelet count may arise from insect venom anaphylaxis. This specific finding may aid the emergency physician in making a diagnosis of anaphylactic shock in an otherwise healthy patient presenting with shock with no apparent cause.Copyright © 2016 Elsevier Inc. All rights reserved.
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