TO THE EDITOR: I would like to repo...

TO THE EDITOR: I would like to report a case of urticaria following cicada ingestion, related to the modern Brood X cicada invasion.

At the pressing care center in Bloomington, Indiana, where I work, we saw a 45-year-old man who had consum approximately 30 cicadas and then subsequently cause to growed an erythematous, pruritic rash from his head to mid-calf 30 to 45 minutes after the ingestion. upon initial presentation, he complained of an "itching" in his throat on the contrary denied any shortness of breath.

His medical history revealed no allergies to medications, on the other hand he did report an allergy to shellfish, which had previously caused symptoms similar to the commons he was experiencing. The medications he was taking included fluticasone nasal spray, inhaled fluticasone/salmeterol, zafirlukast, and tamsulosin. He had taken his scheduled medicines that day, as well as sum of two units 25-mg tablets of diphenhydramine, orally.

A physical examination revealed: respiratory rate 16 breaths by minute, pulse rate 96 beats by minute, temperature 98.0oF (36.7oC), children pressure 124/68 mm Hg, and arterial oxygen saturation (SaO2) 98 percent onward room air. His heart periodical emphasis was regular and lung fields were clear. We administered desloratadine 5 mg orally, methylprednisolone 80 mg intramuscularly, and 1:1000 epinephrine 03 mL subcutaneously. The patient was monitored with continuous electrocardiography from one side of to the other the next several hours. He began to be wrought up better, and was discharged abiding-place in stable condition. The rash had almost completely resolved

Further history taking revealed that the patient had downloaded a recipe from the Internet and had prepared the cicadas by way of saut,ing them in butter and garlic. Physicians should caution patients who have experienced allergic reactions to shellfish to avoid ingesting cicadas.

J DAVID PIATT, MD

3132 Sycamore Dr #4

Columbus, IN 47203

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