A rare acute haemorrhagic stroke and severe multiorgan dysfunction following massive honeybee stings

The venomous sting of honeybees causes a variety of medical problems. The severity and duration of a honeybee sting reaction can vary between patients and at different occasions in the same person. Clinical manifestations range from local and systemic allergic reactions to serious manifestations. The systemic manifestations include, among others, encephalitis, polyneuritis, bleeding manifestations, rhabdomyolysis and renal failure. Despite the high incidence of insect stings, very few reports of stroke have been described in the literature; however, serious complications should always be suspected. Here, we report the case of a previously healthy 13-year-old boy who presented to Wad Medani Children Hospital, Sudan, with an altered mental state and severe anaphylaxis, following numerous stings of honeybees. He also had intracranial haemorrhages, renal failure, petechial rash and shock.