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Multiple Bee Stings and Acute Kidney Injury: A Case Report
Veena V1, Hemant Mehta2, Preeti Dhingra3
1Department of Medicine, Lilavati Hospital and Research Centre, Mumbai, IND.
Cureus
|September 9, 2024
Summary
Multiple honey bee stings can cause acute kidney injury (AKI), a serious condition requiring medical attention. Prompt treatment is crucial for kidney recovery, which can take weeks to months.
Area of Science:
- Nephrology
- Toxicology
- Allergology
Background:
- Acute kidney injury (AKI) is a recognized complication following multiple honey bee stings.
- The severity of AKI correlates with the number of stings, with higher envenomation leading to systemic poisoning.
Observation:
- Bee venom can exert direct or indirect nephrotoxic effects.
- AKI following stings results from a combination of toxic and ischemic acute tubular necrosis.
Findings:
- Patients may require renal replacement therapy (dialysis).
- Renal recovery typically ranges from 4 to 120 days post-envenomation.
Implications:
- Multiple honey bee stings necessitate emergency medical care, potentially in an intensive care unit (ICU), to manage anaphylaxis and prevent kidney damage.
- This case highlights the importance of recognizing and managing AKI in patients with significant bee sting exposure, emphasizing the potential for renal function recovery.
