Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report

Honeybee stings with features of envenomation (either local or allergic and rarely systemic toxicity) are often seen in agriculture workers. An initial presentation with severe diffuse alveolar hemorrhage or pulmonary-renal syndrome is rare and only confined to a few case reports. Herein, we describ...

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Main Authors: Alan Shaji, Malik Parvez, Naresh Kumar Chirumamilla, Nalin Sharma, Ashok Kumar Pannu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-09-01
Series:Turkish Journal of Emergency Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/2452-2473.357332
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author Alan Shaji
Malik Parvez
Naresh Kumar Chirumamilla
Nalin Sharma
Ashok Kumar Pannu
author_facet Alan Shaji
Malik Parvez
Naresh Kumar Chirumamilla
Nalin Sharma
Ashok Kumar Pannu
author_sort Alan Shaji
collection DOAJ
description Honeybee stings with features of envenomation (either local or allergic and rarely systemic toxicity) are often seen in agriculture workers. An initial presentation with severe diffuse alveolar hemorrhage or pulmonary-renal syndrome is rare and only confined to a few case reports. Herein, we describe a case of a 45-year-old male who presented with multiple bee stings and subsequently developed acute kidney injury and pulmonary hemorrhage. He was managed with hemodialysis, invasive mechanical ventilation, red-cell transfusion, and pulse methylprednisolone. However, he developed cardiac arrhythmias with ventricular tachycardia and died.
format Article
id doaj-art-53b660a934174b9eac2709b6e8bcca0d
institution Kabale University
issn 2452-2473
language English
publishDate 2022-09-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Turkish Journal of Emergency Medicine
spelling doaj-art-53b660a934174b9eac2709b6e8bcca0d2025-02-09T09:06:50ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732022-09-0123424624910.4103/2452-2473.357332Severe pulmonary-renal syndrome in honeybee sting envenomation – A case reportAlan ShajiMalik ParvezNaresh Kumar ChirumamillaNalin SharmaAshok Kumar PannuHoneybee stings with features of envenomation (either local or allergic and rarely systemic toxicity) are often seen in agriculture workers. An initial presentation with severe diffuse alveolar hemorrhage or pulmonary-renal syndrome is rare and only confined to a few case reports. Herein, we describe a case of a 45-year-old male who presented with multiple bee stings and subsequently developed acute kidney injury and pulmonary hemorrhage. He was managed with hemodialysis, invasive mechanical ventilation, red-cell transfusion, and pulse methylprednisolone. However, he developed cardiac arrhythmias with ventricular tachycardia and died.https://journals.lww.com/10.4103/2452-2473.357332bee stingcase reportdiffuse alveolar hemorrhageenvenomationhoneybeepulmonary-renal syndromerenal failure
spellingShingle Alan Shaji
Malik Parvez
Naresh Kumar Chirumamilla
Nalin Sharma
Ashok Kumar Pannu
Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
Turkish Journal of Emergency Medicine
bee sting
case report
diffuse alveolar hemorrhage
envenomation
honeybee
pulmonary-renal syndrome
renal failure
title Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
title_full Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
title_fullStr Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
title_full_unstemmed Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
title_short Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report
title_sort severe pulmonary renal syndrome in honeybee sting envenomation a case report
topic bee sting
case report
diffuse alveolar hemorrhage
envenomation
honeybee
pulmonary-renal syndrome
renal failure
url https://journals.lww.com/10.4103/2452-2473.357332
work_keys_str_mv AT alanshaji severepulmonaryrenalsyndromeinhoneybeestingenvenomationacasereport
AT malikparvez severepulmonaryrenalsyndromeinhoneybeestingenvenomationacasereport
AT nareshkumarchirumamilla severepulmonaryrenalsyndromeinhoneybeestingenvenomationacasereport
AT nalinsharma severepulmonaryrenalsyndromeinhoneybeestingenvenomationacasereport
AT ashokkumarpannu severepulmonaryrenalsyndromeinhoneybeestingenvenomationacasereport