Renal and Hemorrhagic Complications Following Bee Sting Envenomation: A Case Report from the Hospital of Zinder
Doutchi Mahamadou *
Faculty of Health Sciences, André Salifou University, Zinder, Niger and National Hospital of Zinder, Niger.
Lamine Mahaman Moustapha
National Hospital of Zinder, Niger and Faculty of Science and Technology, André Salifou University, Zinder, Niger.
Bagnou Hamsatou
National Hospital of Zinder, Niger.
Souleymane Adoum Fils
Faculty of Health Sciences, André Salifou University, Zinder, Niger.
Adamou Bara Abdoul-Aziz
Faculty of Health Sciences, André Salifou University, Zinder, Niger.
Garba Abdoul Aziz
Faculty of Health Sciences, André Salifou University, Zinder, Niger and National Hospital of Zinder, Niger.
Adehossi Eric
Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger.
*Author to whom correspondence should be addressed.
Abstract
Renal and hemorrhagic complications following envenomation by bee stings are rare, posing significant problems for early diagnosis and treatment in the clinical setting. Bee venom is generally well tolerated. A 44-year-old patient was admitted to the infectious and tropical diseases department of the Zinder National Hospital with cervicofacial edema following bee stings. Initially, the patient lost consciousness. Respiratory symptoms included dyspnea and 91% desaturation on room air. The patient was put on oxygen to alleviate hypoxia, doxycycline to prevent secondary bacterial infections, and prednisone to reduce inflammation. The clinical picture was complicated by a worsening of the patient's condition due to a deterioration in renal function, and the subsequent appearance of hematemesis. A renal biopsy revealed acute tubulointerstitial nephropathy, due to direct venom toxicity on the tubules. He was discharged after 35 days. We report a rare case of bee sting complicated by hemorrhagic syndrome and renal involvement.
Keywords: bees, envenomation, kidney complications, hemorrhages, Zinder, Niger Republic