Clinico-epidemiology of arthropod stings and bites in primary hospitals of North Western province of Sri Lanka

Kularatne, S.A.M.; Shahmy, Seyed; Rathnayake, Sanduni; Dawson, Andrew

doi:10.1080/15563650.2018.1447120

Cited by 14 publications

(19 citation statements)

References 21 publications

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“…Insect venom allergy is an important cause of anaphylaxis especially in adult patients. Although Hymenoptera venom allergy due to wasp and bee stings are the main cause of insect venom anaphylaxis worldwide and is also reported in Sri Lanka [ 6 , 7 ], anaphylaxis due to several ant species appear to be more frequent in this country (personal communication).…”

Section: Introductionmentioning

confidence: 99%

Aetiology of anaphylaxis in patients referred to an immunology clinic in Colombo, Sri Lanka

Silva

Dasanayake

Karunatilake

et al. 2018

Allergy Asthma Clin Immunol

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BackgroundThe aetiology of anaphylaxis differs according to types of foods consumed, fauna and foliage and cultural practices. Although the aetiology of anaphylaxis in Western countries are well known, the causes in South Asian countries have not been reported. We sought to determine the causes of anaphylaxis in patients referred to an immunology clinic in Colombo, Sri Lanka.Methods238 episodes of anaphylaxis were reviewed in 188 patients who were referred and skin prick tests and in vitro tests (ImmunoCap) were carried out to assess the presence of allergen specific IgE. Clinical features and severity of anaphylaxis was also recorded along with treatment received.ResultsAnaphylaxis to food either following direct exposure 90/238 (37.5%) or after exercise in the form of food dependent exercise induced anaphylaxis 29/238 (12.2%) was the predominant cause of anaphylaxis. Allergy to cow’s milk and red meat, after immediate exposure, accounted for 66/238 (27.7%) of instances of all episodes of anaphylaxis and 66/90 (73.33%) of anaphylaxis due to food. Vaccines accounted for 28/238 (11.8%) of instances of anaphylaxis, especially among children. Of those who developed anaphylaxis to the MMR (n = 14), 71.4% of them had specific IgE to cow’s milk and 35.7% of them had specific IgE to beef. Of those who developed anaphylaxis to insect stings, 27/42 of these episodes occurred following stings of ants (family Formicidae). The predominant cause of anaphylaxis changed with the age, with food allergy being the most frequent trigger of anaphylaxis in childhood, while drug allergy and idiopathic anaphylaxis being more frequent after 30 years of age.ConclusionsIn this cohort, anaphylaxis to red meat appears to be the predominant cause of food induced anaphylaxis and presence of beef specific IgE and cow’s milk, appears to be a predisposing factor for vaccine induced anaphylaxis.

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Section: Introductionmentioning

confidence: 99%

Aetiology of anaphylaxis in patients referred to an immunology clinic in Colombo, Sri Lanka

Silva

Dasanayake

Karunatilake

et al. 2018

Allergy Asthma Clin Immunol

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“…In Sri Lanka, most of the Hymenoptera stings are caused by bees and wasps [2,3,4]. Local effects such as pain, swelling and facial puffiness are the prominent clinical features of bee stings.…”

Section: Discussionmentioning

confidence: 99%

“…There are four species of honeybees in Sri Lanka naming Asian honeybee (Apis cerana -'Meemessa'), Rock honeybee or feral giant honeybee (Apis dorsata -'Bambara'), feral dwarf honeybee (Apis florae -'Danduwel meemessa') and stingless bee (Trigona iridipennis -'Kaneyiya messa') [1]. The bees are medically important because their stings cause multiple clinical manifestations including simple allergic reaction [2,3,4] and severe complications such as acute kidney injury [5], acute myocardial infarction [6], pulmonary haemorrhage [7], intracerebral haemorrhage [8] and ischemic infarcts [9]. We report a 63-year-old healthy male presenting with right side hemiplegia due to a cerebral ischemic infarct in the left side following multiple bee stings.…”

Section: Introductionmentioning

confidence: 99%

Massive cerebral infarct following multiple honeybee stings

Rathnayaka

Ranathunga²,

Rathnayaka³

et al. 2021

Ceylon Med. J.

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“…Wasp bites are common encounters in general medical wards in Sri Lanka [ 1 ]. Wasps, categorised under insect order Hymenoptera which comes under phylum Arthropoda, are the third largest of all insect orders [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Brachial Artery Thrombosis following Multiple Wasp Bites

Gunathilake

Rifath²,

Ayeshmantha³

et al. 2021

Case Reports in Medicine

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Clinico-epidemiology of arthropod stings and bites in primary hospitals of North Western province of Sri Lanka

Abstract: The primary hospitals in NW province of Sri Lanka manage large numbers of arthropod stings and bites. These include Hymenoptera (hornet and bee), centipedes, spiders, and scorpions. Pain, swellings and anaphylactic reactions were the most common adverse effects.

Cited by 14 publications

References 21 publications

Aetiology of anaphylaxis in patients referred to an immunology clinic in Colombo, Sri Lanka

Aetiology of anaphylaxis in patients referred to an immunology clinic in Colombo, Sri Lanka

Massive cerebral infarct following multiple honeybee stings

Brachial Artery Thrombosis following Multiple Wasp Bites

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