A Very Big Hand Is a Very Big Problem: Soft-Tissue Infection, Venous Thrombosis, or Just an Insect Sting?

  • Sarah Damanti School of Specialization in Geriatrics and Gerontology, Università degli Studi di Milano, Milan
  • Barbara Brignolo-Ottolini School of Specialization in Geriatrics and Gerontology, Università degli Studi di Milano, Milan
  • Marta Mansi School of Specialization in Geriatrics and Gerontology, Università degli Studi di Milano, Milan
  • Maura Marcucci Geriatric Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan Department of Clinical Sciences & Community Health, University of Milan, Milan
  • Daniela Mari Geriatric Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan Department of Clinical Sciences & Community Health, University of Milan, Milan
  • Valerio Pravettoni Allergology and Immunology Unit, Fondazione IRCCS Ca’ Granda, Osp. Maggiore Policlinico, Milan

Keywords

Large local reaction, angioedema, anaphylaxis

Abstract

A 67-year-old woman developed severe edema of her right hand and forearm, for which she was treated with antibiotics, without benefit. The echography excluded a venous thrombosis. Subsequently, she referred a wasp sting before the development of the edema. Specific Hymenoptera venom immunoglobulin E (IgE) was found to be positive for paper wasp and yellow jacket. A large local reaction (LLR) was diagnosed due to the hymenoptera sting. Self-injectable epinephrine was prescribed for possible, though unlikely, systemic reactions following hymenoptera stings.

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  • Published: 2016-02-18

    Issue: Vol 3 No 2 (view)

    Section: Articles

    How to cite:
    Damanti, S., Brignolo-Ottolini, B., Mansi, M., Marcucci, M., Mari, D., & Pravettoni, V. (2016). A Very Big Hand Is a Very Big Problem: Soft-Tissue Infection, Venous Thrombosis, or Just an Insect Sting?. European Journal of Case Reports in Internal Medicine, 3(2). https://doi.org/https://doi.org/10.12890/2016_000312