Abstract
Introduction: We are reporting a deadly case of massive bee stings observed in a 7-year-old child in Ouagadougou. Observation: The first symptoms, which appeared two hours after the stings of about 200 bees, motivated a consultation in a nearby dispensary in which the child received intravenous betamethasone before being referred to the University Hospital Center Yalgado Ouedraogo (CHUYO). Seven hours after the accident, a rapid deterioration in the general condition was noted with hemorrhage, respiratory distress, coma, and shock. A grade 3 anaphylaxis was diagnosed. The patient didn’t survive despite of the cardiopulmonary resuscitation using adrenaline in intensive care. Conclusion: The massive bee stings have caused a severe biphasic anaphylactic reaction which could not be reversed by the adrenaline administered in the second phase. The development of a protocol would contribute to a better management of the cases.
Highlights
We are reporting a deadly case of massive bee stings observed in a 7-year-old child in Ouagadougou
Seven hours after the accident, a rapid deterioration in the general condition was noted with hemorrhage, respiratory distress, coma, and shock
The massive bee stings have caused a severe biphasic anaphylactic reaction which could not be reversed by the adrenaline administered in the second phase
Summary
Two hours after the stings, bloody vomiting and coughing prompted consultation in a peripheral health facility during which the child received injectable betamethasone before being referred to the CHUYO. Hospitalized, the patient presented starting from 11 pm, a rapidly progressive alteration of the general condition, fever, minor oral and nasal bleeding, respiratory distress, coma and a state of shock. The diagnosis of anaphylaxis grade 3 by massive envenomation due to bee stings was retained. The Patient died around 8 am the following day, during the transfer to the intensive care unit of the University Hospital Center Charles De Gaule
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