@article{ref1,
title="Massive Vespa basalis stings induce an envenoming syndrome",
journal="American journal of emergency medicine",
year="2020",
author="Wang, Yao-Chen and Hsu, Chan-Yang and Chen, Yu-Long and Lin, Po-Chen and Wu, Meng-Yu",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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.<p /> <p>Language: en</p>",
language="en",
issn="0735-6757",
doi="10.1016/j.ajem.2020.11.053",
url="http://dx.doi.org/10.1016/j.ajem.2020.11.053"
}