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DISSEMINATED INTRAVASCULAR COAGULATION FOLLOWING MULTIPLE BEE STINGS (A Case Report)
Rajat S Chatterji1, N Dutta Roy2
1Graded Specialist (Medicine) Command Hospital (SC), PUNE - 411 040.
Medical Journal, Armed Forces India
|August 4, 2017
Summary
Multiple bee stings can cause disseminated intravascular coagulation (DIC), a severe bleeding disorder. This case highlights a previously undescribed toxic effect of bee stings, leading to fatal hemorrhage.
Area of Science:
- Toxicology
- Hematology
- Pathology
Background:
- Disseminated intravascular coagulation (DIC) is a complex syndrome with various triggers.
- The association between multiple bee stings and DIC has not been previously documented.
Observation:
- A 28-year-old male presented with severe bleeding manifestations 12 hours after a bee sting swarm.
- Despite intensive medical intervention, including blood transfusions, the patient's condition rapidly deteriorated.
Findings:
- Laboratory investigations and postmortem histopathology confirmed disseminated intravascular coagulation (DIC).
- The findings establish a direct link between extensive bee envenomation and the development of DIC.
Implications:
- This case expands the known spectrum of severe toxic effects from bee stings.
- Highlights the critical need for prompt recognition and management of DIC in patients with massive envenomation.
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