A CASE OF ANAPHYLAXIS DUE TO STINGING OF A <i>Brachyponera chinensis</i>

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  • Kimura Tomoyuki
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Suzuki Shintaro
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Suganuma Hiromitsu
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Sato Hiroki
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Akimoto Kaho
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Kashima Ayaka
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Matsunaga Tomohiro
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Ebato Takaya
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Yamamoto Shigenori
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Uno Tomoki
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Sato Haruna
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Uchida Yoshitaka
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Fukuda Yosuke
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Ida Hitomi
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Jinno Megumi
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Hirai Kuniaki
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Miyata Yoshito
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Honma Tetsuya
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Ota Shin
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Kusumoto Sojiro
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Watanabe Yoshio
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Yamamoto Mayumi
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Tanaka Akihiko
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University
  • Sagara Hironori
    Department of Medicine, Division of Allergology and Respiratory medicine, School of Medicine, Showa University

Bibliographic Information

Other Title
  • オオハリアリの虫刺症によるアナフィラキシーの1 例
  • 症例報告 オオハリアリの虫刺症によるアナフィラキシーの1例
  • ショウレイ ホウコク オオハリアリ ノ チュウシショウ ニ ヨル アナフィラキシー ノ 1レイ
  • [A CASE OF ANAPHYLAXIS DUE TO STINGING OF A Brachyponera chinensis].

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<p>The case involved a man in his forties. While working at the restaurant that the patient runs, the patient experienced a stab-like pain on the left shoulder and developed systemic pruritic eruptions. He was diagnosed with anaphylaxis upon visiting our emergency department. Conjunctival hyperemia, lip swelling, cold sweats, and nausea presented later. A cap fluorescence enzyme immunoassay using the serum of the patient showed specific immunoglobulin E (IgE) positivity for wasps; therefore, we hypothesized that he had anaphylaxis caused by the insect's sting. Insects of the same species as that by which the patient had been stung were collected and finally identified as the Asian needle ant (Brachyponera chinensis). The freeze-dried insects' bodies were sonicated into powders and stored for following examinations. Next, a basophil activation test was performed using the patient's whole blood treated with the reagent above, which showed positivity. Furthermore, a skin prick test using the same reagent showed a positive result, and the reaction increased in a concentrationdependent manner. Based on these results, the patient was diagnosed with anaphylaxis after a sting by the ant. Based on the results of the allergen component specific IgE test, we speculated that the pathogens in this case was group5 allergen of the Asian needle ant. Anaphylaxis following insect stings by this ant has been reported frequently in South Korea. However, it is quite rare in Japan, although the ant is native to Japan. Clinicians should consider that this allergy can occur indoors, unlike allergies to other types of venom.</p>

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