This paper emphasizes “rhabdomyolysis” as a rare complication of this frequently observed envenomation. Vomiting, stomach cramping, headache, muscle and joint ... View answer, , the skin of his joint very warm and swollen as well and red welts on his skin. In bee stings as in our case, clinicians should be alert for rhabdomyolysis in cases with generalized body and muscle pain. A. M. De Oliveira, and G. Muccillo, “An infarct-like myocardial lesion experimentally induced in Wistar rats with Africanized bee venom,”, A. F. Kalyoncu, A. U. Demir, U. Ozcan, C. Ozkuyumcu, A. mostly ankles Sweling is moving upwards. Answered by : Dr ... injury with drugs ,toxic substance to liver,bee sting will cause damage to … Hurts, hardly walk with swelling. Reply with thanks. Fatality is observed secondary to cardiac arrest due to venom toxicity or renal insufficiency on the fourth and ninth days [8]. Bee and wasp stings are the result of an insect injection of a toxin into humans by means of a stinger. They do not cause joint pain as a rule. The efficacy of other agents like antihistamines and corticosteroids has not been proved [6]. Perhaps the bugs were not properly identified. It is notable that these stings may occur without provocation. The authors declare that there is no potential conflict of interests. This paper emphasizes “rhabdomyolysis” as a rare complication of this frequently observed envenomation. Ice applied to the sting site and the joint is helpful. Department of Emergency Medicine, Canakkale Onsekiz Mart University Medical Faculty, 17100 Canakkale, Turkey, P. Vachvanichsanong and P. Dissaneewate, “Acute renal failure following wasp sting in children,”, R. R. Sharmila, G. Chetan, P. Narayanan, and S. Srinivasan, “Multiple organ dysfunction syndrome following single wasp sting,”, R. O. Bischof, “Seasonal incidence of insect stings: autumn ‘yellow jacket delirium’,”, D. A. Jerrard, “ED management of insect stings,”, R. E. Reisman, “Current concepts: insect stings,”, C. K. Janniger, S. E. Schutzer, and R. A. Schwartz, “Childhood insect bite reactions to ants, wasps, and bees,”, P. George, B. Pawar, N. Calton, and P. Mathew, “Wasp sting: an unusual fatal outcome,”, R. S. Vetter, P. K. Visscher, and S. Camazine, “Mass envenomations by honey bees and wasps,”, Y. O. Kim, S. A. Yoon, K. J. Kim et al., “Severe rhabdomyolysis and acute renal failure due to multiple wasp stings,”, W. T. P. Gunasekera, L. Mudduwa, and S. Lekamwasam, “Acute pigmented tubulopathy and interstitial nephritis following wasp sting,”, V. Sakhuja, A. Bhalla, B. J. G. Pereira, M. M. Kapoor, S. R. Bhusnurmath, and K. S. Chugh, “Acute renal failure following multiple hornet stings,”, N. Bhatta, R. Singh, S. Sharma, A. Sinnha, and S. Raja, “Acute renal failure following multiple wasp stings,”, S. Vikrant, D. Pandey, P. Machhan, D. Gupta, S. S. Kaushal, and N. Grover, “Wasp envenomation-induced acute renal failure: a report of three cases,”, D. B. Ferreira, R. S. Costa, J. Sometimes, extensive local reactions may last for several days [5]. Optimal hydration and alkaline diuresis decrease the ischemic acute tubular necrosis and pigment nephropathy [7]. On urine analysis using sticks, the myoglobin level was +++. Insect stings belonging to Hymenoptera defined as wasps, yellow jackets, bees, or hornets by human usually result in unserious clinical pictures that go with pain [1]. Spent the next day in bed ... View answer, yes. Bee and wasp stings are commonly observed in our country [16]. Okhan Akdur, Serdar Can, Göksu Afacan, "Rhabdomyolysis Secondary to Bee Sting", Case Reports in Emergency Medicine, vol. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. dear madam I understand your concern .in my opinion any acute injury with drugs ,toxic substance to liver,bee sting will cause damage to liver and it will increase liver enzymes but liver is having very... Hi Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! Venoms of wasps also contain various biogenic amines. Hymenoptera species cause severe allergic reactions more frequently than other arthropods. On physical examination, he was conscious, general status was good, systolic blood pressure was 110 mmHg and diastolic blood pressure was 80 mmHg, his pulse was 88/min., body temperature was 36.8°C, and O2 saturation was 98. Is this something he should have a Doctor check out immediately? You are already signed-up with us. Do bee stings effect your bones or joints. Copyright © 2013 Okhan Akdur et al. It is thought that the direct toxic effect of venom on muscular tissue plays a role [9]. Bee stings are a common outdoor nuisance. This paper emphasizes “rhabdomyolysis” as a rare complication of this frequently observed envenomation. On the other hand, emergency unit physicians also know that it may cause death by anaphylaxis. Joint pain itself is not usually due to an allergic reaction but from an irritant reaction from the venom itself. Intravenous methyl prednisolone 40 mg was administered twice a day, and 45.5 mg pheniramine hydrogen maleate was given for five days, starting intravenously twice a day. I was stung by 3 bees on the bottom of my foot and big toe. Emergency room visits have been reported in 9.3–5% and familial Hymenoptera allergy has been reported in 10.2%. Insect stings belonging to Hymenoptera defined as wasps, yellow jackets, bees, or hornets by human usually result in unserious clinical pictures that go with pain. In his medical history, he had no allergic reactions, drug use, or chronic disease. Removed stinger, iced and Benadryl gel after. Rhabdomyolysis following a bee sting is a rare condition. This picture is frequently observed in bee stings. Can bee stings effect your bones or joints? Some immediate bee sting reactions are classified as local (a two – or three-inch area of swelling, redness and pain that lasts less than 24 hours). The use of bee stings for reduction of arthritic joint pains is a folk remedy tradition and part of vedic and chinese traditional medicine, where it i ... As a beekeeper i know that a bee sting can result is a local cortisone build up. Joint pain itself is not usually due to an allergic reaction but from an irritant reaction from the venom … By proceeding, I accept the Terms and Conditions, My son was stung by a bee a week ago and he started complaining about it being itchy and now painful. Furthermore, some case reports have stated that treatment with plasma exchange is beneficial [14]. It should be known that there is potential fatality when management is delayed or administered insufficiently following bee stings. Please hit thanks. Early onset alkaline diuresis and management in patients with rhabdomyolysis are vital in protecting the renal functions and preventing morbidity and mortality. In mild climates, particularly on hot days, these events occur more frequently [3]. On the first day, he had no complaints other than pain and swellings, until when he presented to the emergency unit with fatigue and pain in the whole body on the second day. is this normal, or is this an allergic reaction that I ... View answer, My friends hand is extremely swollen from a Bee Sting 2 days ago. 2013, Article ID 258421, 3 pages, 2013. https://doi.org/10.1155/2013/258421, 1Department of Emergency Medicine, Canakkale Onsekiz Mart University Medical Faculty, 17100 Canakkale, Turkey. Joint pain can occur after a sting from a venomous insect. In such severe reactions, the use of intramuscular adrenaline (0.3 mg) followed by hydrocortisone and chlorpheniramine maleate is critical [7]. I have just received multiple bee stings. He had no rash or edema. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. In addition, insect stings often cause allergic reactions in addition to swelling and pain. Enter your password. In bee stin… Rhabdomyolysis following a bee sting is a rare condition. Last night where he had been stung was swollen after taking off his football helmet. I'm now having moderate-severe joint pain and mild-moderate loss of muscle control. Wasp stingers remain intact.

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