Multiple bee stings, multiple organs involved: a case report

Abstract Accidents related to Africanized honey bees are growing globally and are associated with multiple stings owing to the aggressive behavior of this species. The massive inoculation of venom causes skin necrosis and rhabdomyolysis leading to renal failure. Anaphylactic manifestations are more common and are treated using well-defined treatment protocols. However, bee venom-induced toxic reactions may be serious and require a different approach. We report the case of a 3-year-old child, which would help clinicians to focus on the treatment approach required after an incident involving multiple bee stings.

摘要：与非洲化蜜蜂（Africanized honey bee）相关的蜇伤事故在全球范围内呈上升趋势，该蜂种因具有较强攻击性而常导致患者被多次蜇刺。大量毒液注入可引发皮肤坏死与横纹肌溶解症，进而导致肾衰竭。过敏反应表现更为常见，临床可通过规范的治疗方案进行救治。然而，蜂毒诱发的毒性反应往往病情危重，需采取差异化的诊疗策略。本文报告一例3岁儿童的蜂蜇伤病例，旨在帮助临床医师聚焦于多次蜂蜇伤后的针对性治疗方案。