Ocular Lesions Other Than Stings Following Yellow-Legged Hornet ( Vespa velutina nigrithorax ) Projections, as Reported to French Poison Control Centers - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue JAMA Ophthalmology Année : 2020

Ocular Lesions Other Than Stings Following Yellow-Legged Hornet ( Vespa velutina nigrithorax ) Projections, as Reported to French Poison Control Centers

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Importance: Since the accidental introduction of the yellow-legged hornet (Vespa velutina nigrithorax) in France in 2004, there have been reports of this insect unexpectedly projecting a liquid toward the human face, but ocular morbidity associated with this is unknown, to our knowledge. Objective: To describe a case series of ocular lesions after exposure to a liquid projection emitted by a hornet. Design, setting, and participants: This was an analysis of all cases of ocular exposure to a projection by a yellow-legged hornet (excluding stings in the eye) collected by French poison control centers between January 1, 2004, and December 31, 2019. Main outcomes and measures: Symptoms were evaluated, and a fluorescein eye stain test was used. Results: Twenty-nine cases were recorded (24 in male and 5 in female patients; median age, 40 [interquartile range, 11] years); the first occurred in 2009. Most cases (20 [80%]) were occupational exposure among professionals dealing with hornet nests (eg, firefighters, wasp exterminators). Symptoms consistent with conjunctivitis often resolved quickly after ocular decontamination, but 5 patients developed a periorbital edema, 2 experienced radiating neuropathic pain, and 2 experienced keratitis. Conclusions and relevance: These findings suggest that the projection of a liquid into the eyes by the yellow-legged hornet presents a new risk to human health, but its precise nature remains to be determined. Ocular lesions had a favorable outcome. For professionals who deal with these insects, adaptation of the usual protections designed for native hymenopterans may be warranted.
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hal-03002366 , version 1 (12-11-2020)

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Hervé Laborde-Castérot, Éric Darrouzet, Gaël Le Roux, Magali Labadie, Nicolas Delcourt, et al.. Ocular Lesions Other Than Stings Following Yellow-Legged Hornet ( Vespa velutina nigrithorax ) Projections, as Reported to French Poison Control Centers. JAMA Ophthalmology, 2020, 139 (1), pp.105-108. ⟨10.1001/jamaophthalmol.2020.4877⟩. ⟨hal-03002366⟩
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