Author/Authors :
Khalighi ، Zahra Department of Internal Medicine - School of Medicine - Ilam University of Medical Sciences , Azami ، Golnaz Department of Nursing and Midwifery - School of Nursing and Midwifery - Ilam University of Medical Sciences , Shafiei ، Elham Clinical Research Development Unit - Shahid Mostafa Khomeini Hospital - Ilam University of Medical Sciences , Sahebi ، Ali Clinical Research Development Unit - Shahid Mostafa Khomeini Hospital - Ilam University of Medical Sciences , Mozafari ، Aliashraf Department of Epidemiology and Biostatistics - Tehran University of Medical Science
Abstract :
Background: Thrombotic Thrombocytopenic Purpura (TTP) is a rare and life-threatening disorder characterized by severe thrombocytopenia, microangiopathic hemolytic anemia, fever, renal dysfunction, and neurological deficient. TTP leads to the formation of blood clots in small blood vessels throughout the body. TTP is associated with many risk factors such as pregnancy, HIV, cancer, lupus, and infections. Recently there have been few published case reports of bee sting associated TTP. Methods: A 67-year-old man from a rural area of the Southwest Province of Iran, Ilam, was referred to the academic general hospital because of fever, chills, sweating, vomiting and dizziness following the honeybee sting on his body. Results: this study showed that,multiple co-morbidities including CVD and diabetes, along with coagulation abnormalities after honeybee stings, seriously exacerbated patient hemodynamic status. Conclusion: TTP, as a major complication due to the toxic reaction of a large number of bee stings with underlying diseases in patients, should be given more attention.
Keywords :
Thrombotic Thrombocytopenic , Purpura (TTP) , Honey bee , sting , Anaphylactic shock