Bee envenomation induced acute renal failure in an 8 year old child

Abstract

Massive envenomations by bees are capable of causing multiorgan dysfunction as a result of direct toxic effects of the large venom load received. Although all varieties of honey bee have the potential for these attacks, the Africanized honey bee ( Apis mellifera scutellata ) is the most commonly implicated subspecies. In the United States, the Africanized strain is found primarily in the southwestern states and is known for its highly defensive behavior if disturbed. Mechanisms behind the multiorgan dysfunction produced by these mass envenomations are not clearly understood. We present a case of an 8-year-old boy who was stung by multiple bees and developed progressive upper-body swelling and systemic manifestations of mass envenomation including rhabdomyolysis, renal insufficiency, and a transient transaminase elevation. Ibrahim Med. Coll. J. 2011; 5(1): 34-36 Key Words: environmental risk; renal failure; rhabdomyolysis; bee envenomation. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9872