Giant Asian honeybee stings induced acute myocarditis: a case report

Abstract

Hymenopterid stings and subsequent allergic reactions including fatal anaphylaxis are a common indication for emergency department visits worldwide. Less commonly, multiple wasp stings can result in multi-system involvement ranging from intravascular hemolysis, rhabdomyolysis, acute renal failure, cardiac involvement, hepatic dysfunction and occasionally thrombocytopenia and coagulopathy. Here we report one case of multiple Giant Asian honey bee stings induced myocarditis

Heart Transplantation Under Biventricular Mechanical Circulatory Support for Fulminant Myocarditis After a Bee Sting: A Case Report

“…We therefore excluded Takotsubo cardiomyopathy. Bee or wasp sting related acute myocarditis has been reported occasionally, though most cases were diagnosed clinically without endomyocardial biopsy, and therefore the pathophysiology remains unclear [1,2]. In Marburg Myocarditis Registry comprising records of 1098 biopsied patients with suspected myocarditis or inflammatory dilated cardiomyopathy, none of them was found to be the result of venom induced hypersensitivity reaction [11].…”

“…Acute heart failure following bee or wasp sting is rare [1,2]. Possible mechanisms include direct toxic effects of venom or medication that results in high levels of plasma adrenalines, anaphylaxis, and hypersensitivity [3].…”

<em>Hymenoptera</em> (wasps, bees and ants) envenomation; a neglected tropical disorder in Sri Lanka

“…3 Toxic effects to venom when injected in large amounts after massive stings (mass envenoming), could lead to life-threatening complications. Fatal anaphylaxis, 10,12 rhabdomyolysis, 13 acute kidney injury, 14 acute myocardial infarction (Kounis syndrome), 10,15,16 bowel gangrene, 10 cerebral infarction, 17,18 acute pulmonary oedema 19 and multi-organ failure 13,19 have been reported in Sri Lanka after Hymenoptera stings.…”