Abstract:
Acute Kidney Injury in
children following bee sting envenomation
is rare and survival is
hinged on early recognition and
prompt appropriate management.
This report is aimed at raising
awareness among healthcare
workers, of one of the systemic
effects of massive bee sting and
the need to develop sting treatment
protocol. A three year old
preschooler was attacked by a
swarm of bees, receiving over
150stings. Initial clinical features
were allergic response involving
the head, face and tongue for
which he had first aid in a primary
healthcare facility and thereafter
sent home. Few hours later he
developed clinical features of intravascular
haemolysis, rhabdomyolysis,
hypertension and acute
renal failure. Laboratory findings
were in keeping with clinical presentation.
Despite supportive management,
serum biochemistry
worsened necessitating haemodialysis.
Massive bee sting envenomation
can cause systemic reactions
and organ dysfunctions. To
improve the overall clinical outcome,
sting treatment protocol is
advocated.
