Abstract
Envenoming syndrome induced by massive Vespa basalis stings is a critical condition.
Severe systemic reaction may present with hemolytic activity and rhabdomyolysis, leading
diffuse alveolar hemorrhage, adult respiratory distress syndrome, coagulopathy, and
multiple organs failure. In severe envenoming syndrome population, extracorporeal
membrane oxygenation (ECMO) may be considered for unstable hemodynamic status. However,
few studies reported ECMO in venom-induced disseminated intravascular coagulation
patients. Here, we provide a case presented with pulmonary hemorrhage due to multiple
Vespa basalis stings tried to rescue by veno-arterial extracorporeal membrane oxygenation.
We also highlight that early recognition of venom-induced disseminated intravascular
coagulation by checking coagulation profile in high risk patients may prevent from
poor outcome.
Keywords
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Article Info
Publication History
Published online: November 23, 2020
Accepted:
November 21,
2020
Received in revised form:
November 12,
2020
Received:
October 21,
2020
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2020 Elsevier Inc. All rights reserved.
