<- Home <- Arhive <- Vol. 28, Issue 2, June 2020



Rom J Leg Med28(2)149-156(2020)
DOI:10.4323/rjlm.2020.149
© Romanian Society of Legal Medicine


DEATH FROM AN INSECT STING: A CASE REPORT AND LITERATURE REVIEW

L. Panata, I. Mercurio, A. Biancalana, M. Lancia, M. Bacci


Abstract: Postmortem diagnosis of anaphylaxis remains a challenge for pathologists due to the complexity of pathogenetic factors and the absence of pathognomonic data. We describe the case of a 57-year-old man where the combination of autopsy findings, immunohistochemical investigation, laboratory examinations with serum tryptase dosage, supported by anamnestic-circumstantial data, provided the necessary elements for postmortem diagnosis of fatal respiratory arrest due to anaphylactic shock caused by a hornet sting. In addition we illustrate the results of a literature review of the last ten years in which cases subjects died from anaphylactic shock caused by an insect sting.
Keywords: anaphylaxis, hornet sting, postmortem diagnosis.



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