Bee stings envenomation: a case report

Authors

  • Atal Bhaskar Department of FMT, SK Government Hospital, Sikkar, Rajasthan, India
  • Gurpreet Singh Department of FMT, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20222540

Keywords:

Anaphylaxis, Bee sting, Envenomation

Abstract

Bee stings are common in rural areas where people are engaged in farming and other allied occupations. They are classified under organic irritant poisons of animal origin. Usually, bee stings result in pain, itching and swelling. Rarely, they may cause death due to severe anaphylaxis. We report a case of death of a 65 year old male who was found dead near farmlands outside village. More than 100 bee stingers were present in situ on body at places. They were barbed and lodged into flesh. On internal examination, both lungs were found congested and edematous. Laryngeal apparatus was edematous with multiple petechiae present. Trachea was filled with whitish froth. The cause of death was opined as death due to anaphylactic shock consequent upon antemortem multiple bee stings envenomation.

References

Ashour ZA, Shawky HA, Hassan HM. Outcome of pregnancy in women with mechanical valves. Tex Heart Inst J. 2000;27(3):240-5.

Ewan PW. Venom allergy. BMJ. 1998;316(7141):1365-8.

Griffiths ECM, Bleiker TO, Chalmers R, Creamer D. Rook's Textbook of Dermatology. 9th ed. Wiley-Blackwell; 2009: 34.

Wikipedia. Bee sting, 2022. Available at: https://en.wikipedia.org/w/index.php?title=Bee_sting&oldid=1103949572. Accessed on 12 July 2022.

Anolay N, Arslan M, Kumral bahadır, Büyük Y. Death Caused by Honey Bee Stings: Case Report. Med Sci. 2014;3:1305-14.

McLendon K, Sternard BT. Anaphylaxis. Treasure Island (FL): StatPearls Publishing; 2022.

Haseer KH, Paul M. Shock. Treasure Island (FL): StatPearls Publishing; 2022.

The Royal College of Pathologists. RCP Guidelines, 2022. Available at: https://www.rcpath.org/uploads/ assets/4. Accessed on 12 July 2022.

Shetty S, Ullal HG, Kassam ZN, Chidhananda PS, Boloor A, Rastogi P, et al. Death due to massive bee injury- a case report. J Punjab Acad Forensic Med Toxicol. 2012;12:33-6.

Golden DB. Insect sting anaphylaxis. Immunol Allergy Clin North Am. 2007;27(2):261-72.

Green AW, Reisman RE, Arbesman CE. Clinical and immunologic studies of patients with large local reactions following insect stings. J Allergy Clin Immunol. 1980;66(3):186-9.

Barnard JH. Studies of 400 Hymenoptera sting deaths in the United States. J Allergy Clin Immunol. 1973;52(5):259-64.

Valliappan S, Singh A, Barwa J, Harish D, Kumar A. Anaphylactic death due to multiple bee stings-A Case report. J Indian Acad Forensic Med. 2017;39:212.

PTI. HP Govt to give compensation for death due to

bee, wasp sting, 2022. Available at: https://theprint.in/india/hp-govttogivecompensation-for-death-due-to-bee-wasp-sting/898485/. Accessed on 12 July 2022.

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Published

2022-09-27

How to Cite

Bhaskar, A., & Singh, G. (2022). Bee stings envenomation: a case report. International Journal of Research in Medical Sciences, 10(10), 2304–2306. https://doi.org/10.18203/2320-6012.ijrms20222540

Issue

Section

Case Reports