TAILIEUCHUNG - Báo cáo y học: " Mopane worm allergy in a 36-year-old woman: a case report"

Mopane worm allergy in a 36-year-old woman: a case report | Okezie et al. Journal of Medical Case Reports 2010 4 42 http content 4 1 42 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Mopane worm allergy in a 36-year-old woman a case report Okechukwu A Okezie Koloi K Kgomotso Mavis M Letswiti Abstract Introduction The increasing incidence of new diseases as well as changing features of known diseases has partly been attributed to the impact of environmental changes. As a result there have been calls from health experts for proper surveillance and monitoring of these changes. This is a report of mopane worm allergy in a 36 year old female from the Tswana tribe in Botswana. Mopane worm the caterpillar stage of Gonimbrasia belina moths is a seasonal delicacy to people in many communities in southern Africa. As a result by adulthood many residents of these communities have had substantial exposure to the worm. Gonimbrasia belina moths belong to the Lepidoptera order of insects. Though some members of this order are known to induce contact allergy there is no reported incidence of ingestion allergy from mopane worm. Therefore it is important to track this case for its epidemiological significance and to alert both clinicians and the vulnerable public on the incidence of mopane worm allergy in this region. Case presentation This is a case of a 36 year old woman from the Tswana ethnic group in Botswana who was diagnosed with food allergy. She presented with itchy skin rash facial swelling and mild hypotension after eating mopane worm. She had no previous history of allergic reaction following contact or ingestion of mopane worm and had no atopic illness in the past. She was treated and her symptoms resolved after 4 days. Conclusion The proper management of allergy involves patients avoidance and clinicians predictability. Though hypothetical this report is expected to sensitize clinicians to anticipate and properly manage subsequent occurrence as well as educate the public in these .

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