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Multiple bee stings, multiple organs involved: a case report.

Luana Ferreira Martins de Toledo1, Daniella Campelo Batalha Cox Moore1,2, Daniella Mancino da Luz Caixeta1

  • 1Unidade de Terapia Intensiva, Departamento de Pediatria, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.

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Africanized honey bee stings are increasing globally. This case highlights the severe toxic reactions and unique treatment approaches needed beyond standard anaphylaxis protocols for multiple bee stings.

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Area of Science:

  • Toxicology
  • Allergology
  • Emergency Medicine

Background:

  • Africanized honey bees exhibit aggressive behavior, leading to an increase in accidents and multiple stings worldwide.
  • Massive venom inoculation from these stings can cause severe systemic effects, including skin necrosis and rhabdomyolysis, potentially leading to acute kidney injury.
  • While anaphylactic reactions to bee venom are common and have established treatment guidelines, severe toxic reactions present a distinct clinical challenge.

Observation:

  • A case report details a 3-year-old child experiencing severe toxic reactions following multiple Africanized honey bee stings.
  • The clinical presentation and management of this child underscore the complexities of bee venom toxicity.

Findings:

  • The study emphasizes that severe toxic reactions to bee venom necessitate a treatment approach distinct from protocols for anaphylaxis.
  • Prompt recognition and management of systemic toxicity are crucial in cases of massive venom exposure.

Implications:

  • Clinicians should be aware of the potential for severe toxic reactions beyond anaphylaxis in patients with multiple Africanized honey bee stings.
  • This case provides valuable insights for developing tailored treatment strategies for severe bee venom toxicity.
  • Enhanced understanding of Africanized honey bee venom's toxic effects can improve patient outcomes in affected regions.