DOI: 10.12890/2016_000312

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

Authors

  • 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

sarah.damanti@hotmail.it

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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References

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Published

2016-02-18

Issue

Vol. 3 No. 2 (2016)

How to Cite

1.
Damanti S, Brignolo-Ottolini B, Mansi M, Marcucci M, Mari D, Pravettoni V. A Very Big Hand Is a Very Big Problem: Soft-Tissue Infection, Venous Thrombosis, or Just an Insect Sting? EJCRIM [Internet]. 2016 Feb. 18 [cited 2026 Nov. 3];3(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/312

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