다발성 벌 자상에 의한 길랑 바레 증후군 1례
Guillain-barré Syndrome after Multiple Bee Stings
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초록
Severe systemic responses including neurologic complications such as myasthenia gravis, myeloradiculopathy, optic neuropathy, parkinsonism, stroke and Guillain-barré syndrome can occur after bee stings. This case describes a 78-year-old female who presented with symptoms of acute progressive bilateral symmetrical weakness in both lower legs after multiple bee stings. Nerve conduction study findings were consistent with acute sensorimotor axonal neuropathy and recovered by treatment with intravenous immunoglobulin. This case highlights that bee stings can result in acute onset Guillain-barré syndrome, although the pathophysiologies of bee venoms need to be investigated accurately.
Abstract
Severe systemic responses including neurologic complications such as myasthenia gravis, myeloradiculopathy, optic neuropathy, parkinsonism, stroke and Guillain-barré syndrome can occur after bee stings. This case describes a 78-year-old female who presented with symptoms of acute progressive bilateral symmetrical weakness in both lower legs after multiple bee stings. Nerve conduction study findings were consistent with acute sensorimotor axonal neuropathy and recovered by treatment with intravenous immunoglobulin. This case highlights that bee stings can result in acute onset Guillain-barré syndrome, although the pathophysiologies of bee venoms need to be investigated accurately.
참고문헌 (16)
- 인석환, "벌에 쏘인 뒤 비특이적반응으로 발생한 전신부종 1예", Allergy Asthma & Respiratory Disease, 4(4), pp.305~307 (2016), 대한 소아알레르기 호흡기학회[DOI]
- 이수경, "한국 성인의 벌독으로 인한 아나필락시스: 국내 다기관 후향적 연구", Allergy Asthma & Respiratory Disease, 2(5), pp.344~351 (2014), 대한 소아알레르기 호흡기학회
- 배인규, "혈청병 양상을 나타낸 벌독 알레르기 2예", 천식 및 알레르기, 26(3), pp.254~258 (2006), 대한천식알레르기학회
- 정재우, "A Fatal Case of Intravascular Coagulation After Bee Sting Acupuncture", Allergy, Asthma & Immunology Research, 4(2), pp.107~109 (2012), 대한천식알레르기학회
- Hee Yun Ryu, "Lower limb ischemia after bee sting", Journal of Yeungnam Medical Science, 33(2), pp.134~137 (2016), 영남대학교 의과대학[DOI]
- 채원영, "자가 벌침주사 후 발생한 급성 폐손상 1예", Allergy Asthma & Respiratory Disease, 3(2), pp.151~154 (2015), 대한 소아알레르기 호흡기학회
- Hughes RA, "Controlled trial prednisolone in acute polyneuropathy", Lancet, 7, pp.750~753 (1978)
- Gunatilake SS, "An unusual case of recurrent Guillain-Barre syndrome with normal cerebrospinal fluid protein levels: a case report", BMC Neurol, 16, pp.161~ (2016)[DOI]
- 박영식, "Clinical Features of Post-Vaccination Guillain-Barré Syndrome (GBS) in Korea", Journal of Korean Medical Science, 32(7), pp.1154~1159 (2017), 대한의학회
- Devere R, "Guillain-Barre syndrome after a jellyfish sting", J Clin Neuromuscul Dis, 12, pp.227~230 (2011)[DOI]
- Neil J, "Guillain-Barre syndrome: first description of a snake envenomation aetiology", J Neuroimmunol, 242, pp.72~77 (2012)[DOI]
- Lee HJ, "Guillain-Barre syndrome following bee venom acupuncture", Intern Med, 54, pp.975~978 (2015)[DOI]
- Marks HG, "Fisher's syndrome in children", Pediatrics, 60, pp.726~729 (1977)
- Bachman DS, "Acute inflammatory polyradiculoneuropathy following Hymenoptera stings", JAMA, 247, pp.1443~1445 (1982)[DOI]
- Saini AG, "Acute axonal polyneuropathy following honey-bee sting: a case report", J Child Neurol, 29, pp.674~676 (2014)[DOI]
- Das A, "Recurrent Guillain Barre' syndrome", Electromyogr Clin Neurophysiol, 44, pp.95~102 (2004)