Akyıldız Başak, Özsoylu Serkan, Öztürk Mehmet Adnan, İnci Abdullah, Düzlü Önder, Yıldırım Alparslan
Divisions of Pediatric Intensive Care, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Turk J Pediatr. 2015 Nov-Dec;57(6):611-614.
Bee venom is a complex substance which acts in different ways; local or systemic anaphylaxis associated with IgE and direct toxic effects of the large volume of injected venom. We report a 10- year-old boy who was the vulnerable of 5989 honey bee attacks. To the best of our knowledge, this case had the ultimate number of honey bee stings in the literature, until now. He was admitted to pediatric intensive care unit after 3 hours of incident. Plasmapheresis was started to remove circulating venom that can cause many systemic side effects. Unfortunately, multiorgan failure developed on the 2nd day of admission due to severe hemolysis and rabdomyolysis. Additional therapies modalities, mechanical ventilation, hemodialysis, and antihypertensive drugs were added to the treatment during the disease process. Despite all of the treatments, the patient was failed on 12th day of hospitalization.
蜂毒是一种具有多种作用方式的复杂物质；与IgE相关的局部或全身性过敏反应以及大量注入毒液的直接毒性作用。我们报告一名10岁男孩，他是5989次蜜蜂攻击的受害者。据我们所知，到目前为止，该病例是文献中蜜蜂蜇伤次数最多的。事件发生3小时后，他被送入儿科重症监护病房。开始进行血浆置换以清除可导致许多全身副作用的循环毒液。不幸的是，由于严重溶血和横纹肌溶解，在入院第2天出现了多器官功能衰竭。在疾病过程中，治疗中增加了其他治疗方式、机械通气、血液透析和抗高血压药物。尽管进行了所有治疗，患者在住院第12天仍死亡。
