ABSTRACT
We report a fatal case due to a massive attack by a swarm of bees in a nine-year-old child. The accident was fatal because of two aggravating factors: the cephalic location and the large number of stings (about 300). Complications were coagulopathy, anemia, hemorrhage, coma, and oligoanuria. Support was symptomatic at a facility second level. The outcome was fatal within 14 days. In view of the encountered difficulties, we recommend to build written protocols for the management of envenomation in any health training reference.
Subject(s)
Bees , Insect Bites and Stings/pathology , Acute Kidney Injury/etiology , Acute Kidney Injury/pathology , Animals , Anuria/etiology , Anuria/pathology , Child , Fatal Outcome , Humans , Insect Bites and Stings/complications , Male , NigerABSTRACT
The authors report a case of legionnaires' disease with retractile late sequelae affecting the lingula and the dorsal segment of the culmen. They stress the need for appropriate and prolonged treatment because of the possible presence of intracellular Legionella pneumophila. The existence of an associated staphylococcal infection is also one of the hypotheses raised in explaining such sequelae.