A Case of Cardiac Arrest Soon after Receiving a Sting from a Wasp

Ryota Nishio¹, Ken-ichi Muramatsu¹, Hiroki Nagasawa¹, Ikuto Takeuchi¹, Kei Jitsuiki¹ and Youichi Yanagawa^1,

¹Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University

Cite this paper:
Ryota Nishio, Ken-ichi Muramatsu, Hiroki Nagasawa, Ikuto Takeuchi, Kei Jitsuiki and Youichi Yanagawa. A Case of Cardiac Arrest Soon after Receiving a Sting from a Wasp. American Journal of Medical Case Reports. 2020; 8(12):491-493. doi: 10.12691/ajmcr-8-12-16

Abstract

While felling trees along a national roadside in a remote area, a 38-year-old man suddenly cried out that he had been stung by a wasp on his left hand. His colleague came over to him, and he fell unconscious, so his colleague called an ambulance. When emergency technicians found him, he was in cardiopulmonary arrest. His initial rhythm was asystole. He receive advanced cardiac life support but was unable to obtain return of spontaneous circulation, possibly due to his anaphylactic shock and complication with Kounis syndrome resulting in a low cardiac output, as he showed temporal complete bundle branch block with tachycardia PEA, repeated ventricular fibrillation, and elevated cardiac enzymes. The presence of a sting mark may also have been a sign of his severe state and complication of Kounis syndrome. The establishment of a new framework, such as permitting non-medical staff to inject adrenaline into patients with anaphylaxis, might be required.

Keywords:
anaphylaxis Kounis syndrome sting mark adrenaline

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