Postmortem Analysis of Lethal Honeybee Stings- A Case Report

Authors

  • Rajiv Ratan Singh Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
  • Santosh Kumar Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
  • Raja Rupani King George's Medical University, Lucknow, India
  • Pradeep Kumar Yadav Dr Ram Manohar Lohia Institute of Medical Sciences Lucknow, india
  • Richa Choudhary Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
  • Anoop Kumar Verma King George's Medical University, Lucknow, India
  • Tauheed Anwar King George's Medical University, Lucknow, India

DOI:

https://doi.org/10.37506/k8eefc87

Keywords:

Honeybee stings, Anaphylaxis, Autopsy, Case Report

Abstract

The deceased, a 55-year-old male, arrived at our mortuary after succumbing to multiple honeybee stings. Initial examination disclosed pronounced facial swelling and urticarial eruptions. The deceased, who was engaged in gardening, experienced a rapid onset of symptoms following numerous bee stings. Surprisingly, his medical history showed no prior severe allergic reactions to bee stings. This suggested an acute anaphylactic response, highlighting the unpredictability of such reactions. The absence of previous hypersensitivity underscores the sudden and fatal nature of the incident, emphasizing the need for prompt medical intervention in cases of unexpected severe allergic reactions.

 

Author Biographies

  • Rajiv Ratan Singh, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

    Professor (Jr), Department of Emergency Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

  • Santosh Kumar, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

    Senior Resident, Department of Emergency Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

  • Raja Rupani, King George's Medical University, Lucknow, India

    Professor (Jr), Department of Forensic Medicine and Toxicology, Department of Forensic Medicine & Toxicology, King George's Medical University, Lucknow, India 

  • Pradeep Kumar Yadav, Dr Ram Manohar Lohia Institute of Medical Sciences Lucknow, india

    Assistant Professor, Department of Forensic Medicine and Toxicology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

  • Richa Choudhary, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

    Professor, Department of Forensic Medicine and Toxicology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

  • Anoop Kumar Verma, King George's Medical University, Lucknow, India

    Professor & HOD, Department of Forensic Medicine and Toxicology, Department of Forensic Medicine & Toxicology, King George's Medical University, Lucknow, India

  • Tauheed Anwar, King George's Medical University, Lucknow, India

    Junior Resident,  Department of Forensic Medicine and Toxicology, Department of Forensic Medicine & Toxicology, King George's Medical University, Lucknow, India

References

Fakhar M, Zakariaei Z, Sharifpour A, Soleymani M, Zakariaei A. Fatal outcome following multiple beestings: A rare case. Clin Case Rep. 2022 Jan;10(1):e05303.

Burzyńska M, Piasecka-Kwiatkowska D. A Review of Honeybee Venom Allergens and Allergenicity. Int J Mol Sci. 2021 Aug 4;22(16):8371.

World Health Organization (WHO). (2019). Venomous animals. Retrieved from https://www.who.int/news-room/fact-sheets/detail/venomous-animals.

Calderón, J. L., Schäfer, T., Klemm, T., Darsow, U., Bewick, M., & Ring, J. (2020). Occupational and recreational bee sting anaphylaxis in beekeepers: epidemiology, immunopathogenesis and allergen components. Allergy, 75(1), 241-251.

Rahimian R, Shirazi FM, Schmidt JO, Klotz SA. Honeybee Stings in the Era of Killer Bees: Anaphylaxis and Toxic Envenomation. Am J Med. 2020 May;133(5):621–6.

Reber LL, Hernandez JD, Galli SJ. The pathophysiology of anaphylaxis. J Allergy Clin Immunol. 2017 Aug;140(2):335–48.

Rayamane AP, Kumar MP, Kishor DG. Honey bee stings and anaphylaxis. J. Forensic Med. Sci. Law. 2014 Jan;23:53-60.

Guan K, Li LS, Yin J. Use of sIgE/T-IgE in predicting systemic reactions: retrospective analysis of 54 honeybee venom allergy cases in North China. Chinese Medical Journal. 2016 Sep 5;129(17):2091-5.

Mingomataj EÇ, Bakiri AH, Ibranji A, Sturm GJ. Unusual reactions to hymenoptera stings: what should we keep in mind?. Clinical reviews in allergy & immunology. 2014 Aug;47:91-9.

Silva Junior GB, Vasconcelos Junior AG, Rocha AM, Vasconcelos VR, Barros Neto JD, Fujishima JS, Ferreira NB, Barros EJ, Daher ED. Acute kidney injury complicating bee stings–a review. Revista do Instituto de Medicina Tropical de Sao Paulo. 2017 Jun 1;59:e25.

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Published

2024-07-10

Issue

Vol. 18 No. 3 (2024): Indian Journal of Forensic Medicine & Toxicology

Section

Case Study

License

Copyright (c) 2024 Rajiv Ratan Singh; Santosh Kumar, Raja Rupani; Pradeep Kumar Yadav, Richa Choudhary, Anoop Kumar Verma; Tauheed Anwar

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

https://creativecommons.org/licenses/by-nc/2.0/deed.en

How to Cite

Postmortem Analysis of Lethal Honeybee Stings- A Case Report. (2024). Indian Journal of Forensic Medicine & Toxicology, 18(3), 10-12. https://doi.org/10.37506/k8eefc87