{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T06:49:20Z","timestamp":1663310960559},"reference-count":9,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,14]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Hymenopteran venoms, inoculated during stings by ants, bees, and wasps, are the most frequent cause of an IgE-mediated systemic hypersensitivity reaction in adults, which is a key process in drastic manifestations of anaphylaxis. Respiratory involvement is usually caused by pulmonary edema but is rarely described as including interstitial pneumonitis or acute respiratory distress syndrome. Here, we describe a case of severe allergic reaction after a sting by <jats:italic>Apoica pallens<\/jats:italic> with late-onset pulmonary involvement, including signs of vasoplegia (pleural effusion) and interstitial pneumonitis with mild rhabdomyolysis. The presence of late onset of pulmonary involvement after a severe allergic reaction after a sting by <jats:italic>A. pallens<\/jats:italic> shows the importance of keeping a patient with severe reactions under medical care for a minimum of 5 days to avoid serious late complications outside the hospital environment.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0218","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T12:08:51Z","timestamp":1659960531000},"page":"701-704","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Late-Onset Pneumonitis after Apoica pallida (Insecta: Hymenoptera) Sting with Anaphylactic Reaction in the Brazilian Amazon"],"prefix":"10.4269","volume":"107","author":[{"given":"Guilherme Augusto","family":"Pivoto Jo\u00e3o","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"},{"name":"Universidade do Estado do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina Tropical, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Bonates","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thelma Silva","family":"de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline","family":"Alencar","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9rica","family":"da Silva Carvalho","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina Tropical, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djane Clarys","family":"Baia-da-Silva","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"},{"name":"Universidade do Estado do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina Tropical, Manaus, Brazil;"},{"name":"Universidade Federal do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Assist\u00eancia Farmac\u00eautica, Manaus, Brazil;"},{"name":"Instituto Le\u00f4nidas & Maria Deane, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"de Almeida Gon\u00e7alves Sachett","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"},{"name":"Universidade do Estado do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina Tropical, Manaus, Brazil;"},{"name":"Funda\u00e7\u00e3o Alfredo da Matta, Diretoria de Ensino e Pesquisa, Manaus, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wuelton Marcelo","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o de Medicina Tropical Dr. Heitor Vieira, Departamento de Ensino e Pesquisa, Manaus, Brazil;"},{"name":"Universidade do Estado do Amazonas, Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina Tropical, Manaus, Brazil;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Allergy","doi-asserted-by":"publisher","first-page":"1397","DOI":"10.1111\/all.12475","article-title":"First European data from the network of severe allergic reactions (NORA). Allergy","volume":"69","author":"Worm","year":"2014"},{"key":"b2","series-title":"Rev Soc Bras Med Trop","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1590\/0037-8682-0109-2017","article-title":"Hymenoptera stings in Brazil: a neglected health threat in Amazonas State","volume":"51","author":"Costa","year":"2018"},{"key":"b3","series-title":"Int J Emerg Med","article-title":"Multi-organ dysfunction secondary to severe wasp envenomation","volume":"8","author":"Ittyachen","year":"2015"},{"key":"b4","series-title":"LookUs Bilisim Ltd.","first-page":"165","article-title":"Adult respiratory distress syndrome after a wasp sting. Respiratory Case Reports","volume":"5","author":"Arisoy","year":"2016"},{"key":"b5","series-title":"Asia Pacific J Med Toxicol","first-page":"132","article-title":"Rhabdomyolysis and acute respiratory distress syndrome secondary to multiple wasp stings","volume":"6","author":"Sirithep","year":"2017"},{"key":"b6","series-title":"J Med Case Rep","article-title":"Fatal acute pulmonary oedema and acute renal failure following multiple wasp\/hornet (Vespa affinis) stings in Sri Lanka: two case reports","volume":"8","author":"Kularatne","year":"2014"},{"key":"b7","series-title":"Rev Soc Bras Med Trop","first-page":"1","article-title":"Bee sting envenomation severe cases in Manaus, Brazilian Amazon: clinical characteristics and immune markers of case reports","volume":"54","author":"Mendon\u00e7a-Da-silva","year":"2021"},{"key":"b8","series-title":"CMAJ","first-page":"175","article-title":"Memory loss and pneumonitis after anaphylaxis due to an insect sting","volume":"144","author":"Mazza","year":"1991"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.3390\/biom12040527"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/107\/3\/article-p701.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/107\/3\/article-p701.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/107\/3\/article-p701.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T12:10:12Z","timestamp":1663243812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/107\/3\/article-p701.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,14]]},"references-count":9,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.22-0218","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,14]]}}}