Department of Veterinary Surgery and Medicine, Institute of Veterinary Medicine, Federal Rural University of Rio de Janeiro (UFRRJ), Seropédica, Rio de Janeiro, Brazil.
Center of Agricultural Sciences and Technology, State University of Norte Fluminense, Rio de Janeiro, Rio de Janeiro, Brazil.
J Venom Anim Toxins Incl Trop Dis. 2013 Aug 22;19:18. doi: 10.1186/1678-9199-19-18. eCollection 2013.
We report three cases of stings by Africanized bees in cattle in the state of Rio de Janeiro, Brazil. Erythema, subcutaneous edema, necrosis accompanied by skin detachment, and subsequent skin regeneration were observed, especially on the head and dewlap. Histopathological examinations performed 45 days later revealed complete skin reepithelialization with moderate dermal fibrosis. The clinical picture and differential diagnosis are discussed in the present manuscript, with a focus on photosensitization, which causes cutaneous lesions on the head (sequela) with cicatricial curving of the ears and can be very similar to what is observed in cattle attacked by swarms of bees. The distinction between photosensitization and bee sting lesions can be made with a focus on history and clinical and pathological aspects.
我们报告了巴西里约热内卢州 3 例牛被非洲化蜜蜂蜇伤的病例。观察到红斑、皮下水肿、坏死伴皮肤脱落,以及随后的皮肤再生,特别是在头部和垂肉上。45 天后进行的组织病理学检查显示皮肤完全再上皮化,真皮纤维化中度。本文讨论了临床表现和鉴别诊断,重点是光敏性,它会导致头部(后遗症)出现皮肤损伤,耳朵出现瘢痕性弯曲,与被蜂群攻击的牛非常相似。可以通过关注病史以及临床和病理方面来区分光敏性和蜂蜇伤病变。