Deadly Envenomation by Massive Bee Stings in a 7-Year Old Child in Ouagadougou

• 作者: A. Kalmogho C. Bouda C. Yonaba C. Zoungrana F. Koueta F. Ouédraogo L. Kam M. Delma O. Sawadogo
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: ENVENOMATION MASSIVE Stings BEES OUAGADOUGOU
• 年，卷（期）: 2017,（4）
• 页码范围: 289-293
• 页数: 5页
• 分类号: R73

摘要

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 Ouédraogo (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.