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Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru

Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, theref...

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Autores principales: González, Ana Luisa, Silva, Fermin, Barrientos, Robinson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685374/
https://www.ncbi.nlm.nih.gov/pubmed/33244277
http://dx.doi.org/10.2147/IMCRJ.S284184
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author González, Ana Luisa
Silva, Fermin
Barrientos, Robinson
author_facet González, Ana Luisa
Silva, Fermin
Barrientos, Robinson
author_sort González, Ana Luisa
collection PubMed
description Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, therefore, permanent loss of vision due to anterior segment ischemia. It warns that the wasp stinger has a saw-shaped texture, contains toxins that inflame the area where it stings. Due to the immunological and toxic effects of the stinger and its venom infiltrates the cornea. We present the case of a 32-year-old man who presented keratouveitis secondary to a wasp sting in a region of the jungle of Peru. He was treated emergency with intensive steroid therapy to reduce the toxic effects. His follow-up up to 2 months was successful, leaving only a 1 mm central leukoma where the bite occurred, which did not impair his vision.
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spelling pubmed-76853742020-11-25 Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru González, Ana Luisa Silva, Fermin Barrientos, Robinson Int Med Case Rep J Case Report Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, therefore, permanent loss of vision due to anterior segment ischemia. It warns that the wasp stinger has a saw-shaped texture, contains toxins that inflame the area where it stings. Due to the immunological and toxic effects of the stinger and its venom infiltrates the cornea. We present the case of a 32-year-old man who presented keratouveitis secondary to a wasp sting in a region of the jungle of Peru. He was treated emergency with intensive steroid therapy to reduce the toxic effects. His follow-up up to 2 months was successful, leaving only a 1 mm central leukoma where the bite occurred, which did not impair his vision. Dove 2020-11-20 /pmc/articles/PMC7685374/ /pubmed/33244277 http://dx.doi.org/10.2147/IMCRJ.S284184 Text en © 2020 González et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
González, Ana Luisa
Silva, Fermin
Barrientos, Robinson
Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title_full Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title_fullStr Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title_full_unstemmed Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title_short Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
title_sort management of secondary keratouveitis in a wasp sting patient in a jungle region of peru
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685374/
https://www.ncbi.nlm.nih.gov/pubmed/33244277
http://dx.doi.org/10.2147/IMCRJ.S284184
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