Odynophagia following retained bee stinger

Nearly half of Hymenoptera stings affect the head and neck region of victims, but reports on oropharyngeal bee stings are very few. We describe the case of a patient with odynophagia and suffocation in mass envenomation. He had a retained bee stinger whose removal was delayed for more than 24 hours following the sting, due to persisting angioedema. Odynophagia receded after removal of the stinger and treatment with paracetamol, steroids and metronidazole. The patient also developed rhabdomyolysis, renal failure and hepatitis that were treated with conservative therapy. Oropharyngeal stings can simulate symptoms of persisting angioedema in victims of mass envenomation.(AU)

Odynophagia following retained bee stinger

Nearly half of Hymenoptera stings affect the head and neck region of victims, but reports on oropharyngeal bee stings are very few. We describe the case of a patient with odynophagia and suffocation in mass envenomation. He had a retained bee stinger whose removal was delayed for more than 24 hours following the sting, due to persisting angioedema. Odynophagia receded after removal of the stinger and treatment with paracetamol, steroids and metronidazole. The patient also developed rhabdomyolysis, renal failure and hepatitis that were treated with conservative therapy. Oropharyngeal stings can simulate symptoms of persisting angioedema in victims of mass envenomation.(AU)

Acidente provocado por picada de abelhas como causa de morte de cães

Hymenopteran stinging events are frequent cause of disease and death in domestic animals, but rarely reported in the literature. This paper reports six cases of envenomation by bee (Apis mellifera) sting in dogs with fatal outcome. The main clinical signs were icterus and hemoglobinuria. Other findings included anorexia, apathy, vomiting, diarrhea, and dyspnea. Necropsy findings in five dogs included icterus, red-orange discoloration of the liver, dark-red kidneys with an red-wine aspect to the urine. Histologically, there were centrolobular necrosis in the liver and hemoglobinuric nephosis, typical lesions of intravascular hemolysis.

Acidentes causados por himenópteros são freqüentes em animais domésticos, mas apenas raramente reportados na literatura. Este relato descreve seis casos fatais de reação tóxica sistêmica decorrente de acidente por abelhas (Apis mellifera) em cães. Os principais sinais clínicos foram icterícia e hemoglobinúria. Outros achados incluíram anorexia, apatia, vômito, diarréia e dispnéia. Na necropsia, cinco dos seis cães apresentavam icterícia, fígado vermelho-alaranjado, rins intensamente enegrecidos e urina com coloração semelhante à do vinho tinto. Na histologia, havia necrose hepática centrolobular e nefrose hemoglobinúrica, lesões típicas de crise hemolítica intravascular.

Acidente provocado por picada de abelhas como causa de morte de cães

Hymenopteran stinging events are frequent cause of disease and death in domestic animals, but rarely reported in the literature. This paper reports six cases of envenomation by bee (Apis mellifera) sting in dogs with fatal outcome. The main clinical signs were icterus and hemoglobinuria. Other findings included anorexia, apathy, vomiting, diarrhea, and dyspnea. Necropsy findings in five dogs included icterus, red-orange discoloration of the liver, dark-red kidneys with an red-wine aspect to the urine. Histologically, there were centrolobular necrosis in the liver and hemoglobinuric nephosis, typical lesions of intravascular hemolysis.

Acidentes causados por himenópteros são freqüentes em animais domésticos, mas apenas raramente reportados na literatura. Este relato descreve seis casos fatais de reação tóxica sistêmica decorrente de acidente por abelhas (Apis mellifera) em cães. Os principais sinais clínicos foram icterícia e hemoglobinúria. Outros achados incluíram anorexia, apatia, vômito, diarréia e dispnéia. Na necropsia, cinco dos seis cães apresentavam icterícia, fígado vermelho-alaranjado, rins intensamente enegrecidos e urina com coloração semelhante à do vinho tinto. Na histologia, havia necrose hepática centrolobular e nefrose hemoglobinúrica, lesões típicas de crise hemolítica intravascular.