2025, Number 1
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Arch Med Urg Mex 2025; 17 (1)
Massive honey bee (Apis mellifera) envenomation
Pérez-Tuñón JG, Badillo-Ramírez EZ, Bautista-Albíter MI, Mancera-Castillo L, Alegría-Rivas FA, Acosta-Olvera IA
Language: Spanish
References: 21
Page: 45-49
PDF size: 531.51 Kb.
ABSTRACT
The venom of honey bees (Apis sp) contains melittin, phospholipase
A2, hyaluronidase and apamin, among other proteins. The clinical
manifestations of poisoning will depend on the amount of venom
inoculated and therefore the number of bites received. Mass envenomation
causes severe and potentially lethal outcomes. We present
the case of a 65-year-old man, who was taken to the emergency
room 20 minutes after a beehive fell on him and suffered 822 stings,
which represented a dose of 11.7 stings/kg, from which he developed
rhabdomyolysis and acute kidney failure. Bee stings are frequently
associated with hypersensitivity reactions; However, emergency physicians
should be familiar with massive bee envenomation because
it is a life-threatening condition, and its therapeutic approach is different
from that of anaphylaxis
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Full text
10.35366/120934