Myocardial injury following multiple bee stings

Nisahan, Balasingam; Selvaratnam, G.; Kumanan, T.

doi:10.1177/0049475514525606

Cited by 12 publications

(9 citation statements)

References 1 publication

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“…[ 1 ] Cardiovascular events such as acute coronary syndrome and stroke can develop either secondary to anaphylaxis or as a delayed complication due to the direct toxin reactions. [ 1 5 ] During anaphylaxis, various biologic amines act as a vasoactive mediator causing peripheral vasodilatation and hence deep hypotension, while vasoconstricting effect on coronary circulation increases myocardial oxygen demand leading to myocardial ischemia. PLA2, a constituent of bee venom, activates the metabolism of the arachidonic acid resulting in release of leukotrienes by the lipoxygenase pathway and prostaglandins such as thromboxane by cyclooxygenase pathway.…”

Section: Discussionmentioning

confidence: 99%

Case report of central retinal artery occlusion following bee sting injury

Pujari

Ranjan

Verghese

et al. 2021

Oman Journal of Ophthalmology

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We report the case of a 54-year-old male who presented with complaints of decreased vision in the left eye (LE). He gave a history of multiple bee stings following which he had an episode of allergic anaphylaxis to the face and neck region for which he was admitted and treated with steroids. On examination, he was found to have LE central retinal artery occlusion (CRAO) which was the cause of his reduced vision. This is the first report of a bee sting venom as a cause for CRAO.

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Section: Discussionmentioning

confidence: 99%

Case report of central retinal artery occlusion following bee sting injury

Pujari

Ranjan

Verghese

et al. 2021

Oman Journal of Ophthalmology

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“…Honeybee venom is composed of a mix of peptides, amines, and enzymes that include apamin (a small neurotoxin that blocks Ca 2+ dependent K + channels) 10 , adrenaline, noradrenaline, histamine, serotonin, and tertiapine, which may provoke myocardial ischemia and intense hypotension 11 . It could also be the cause of an allergic or non-allergic local reaction, anaphylaxis, or a systemic toxic reaction such as vomiting or edema 12 .…”

Section: Discussionmentioning

confidence: 99%

Idioventricular rhythm and shock after a honeybee sting

Franco-Lugo¹,

Uribe-Vallarta²,

Bernal-Contreras³

et al. 2021

ACME

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Objective: The objective of this study was to describe the case of a 19-year-old male presenting with bradycardia and hypotension after a honeybee sting making a review of the literature and pathophysiology of the cardiovascular and electrocardiogram (EKG) changes after a bee sting. Methods: The patient's airway was inspected and secured. Electrocardiogram with an idioventricular rhythm at 41' bpm. Oxygen was administered, an intravenous access was established, and the transcutaneous pacemaker leads were placed on the chest of the patient, then published guidelines management was induced. Results: The EKG showed idioventricular rhythm at a rate of 41 beats/min that resolved to a normal sinus rhythm after treatment. Conclusions: A full and prompt cardiovascular evaluation should be performed in all patients presenting to the emergency department after a bee sting, and published guidelines regarding the management of bradycardia and anaphylaxis should be followed to achieve successful outcomes.

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“…Early management of anaphylaxis with IM epinephrine (adrenaline), significantly reduces the complications, as they appear 48–72 h after the attack [ 2 – 4 , 6 , 7 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…These manifestations are moderate to severe reactions [ 1 ]. Severe reaction cause multiorgan damage like acute kidney injury (AKI) and myocardial infarction [ 2 – 4 , 6 , 7 ]. AKI in children following multiple bee stings is uncommon complication in Africa and there is limited literature, especially in children.…”

Section: Introductionmentioning

confidence: 99%