Dulaurent Thomas, Perard Bertille, Mathieson Iona, Dulaurent Anne-Maïmiti, Isard Pierre-François
Saint-Martin Hospital Veterinary Centre, Saint Martin Bellevue, France.
Veterinary Clinic of Hers, Castelginest, France.
JFMS Open Rep. 2020 Oct 28;6(2):2055116920962431. doi: 10.1177/2055116920962431. eCollection 2020 Jul-Dec.
A 6-month-old female Bengal cat was referred for a suspected vegetal foreign body (FB) in the mid-stroma of the right cornea. A small dark linear FB was identified in the dorsal aspect of the cornea, with associated cell infiltrate. Ophthalmic examination was otherwise normal, with no inflammatory reaction of the anterior uvea, and no abnormalities of the lens or fundus. Surgical removal was performed under general anesthesia. The FB, as observed under an optic microscope, was a worker bee stinger without the venom sac. Medical treatment consisted of topical and systemic antibiotics and steroids, and topical administration of atropine. Follow-up was uneventful.
Ocular bee stings have been described in humans, with several consequences ranging from mild conjunctivitis to severe lesions affecting the cornea, iris, lens and retina. Most severely affected cases have been observed when the venom sac was found with the stinger, with a likely greater amount of venom being delivered into the ocular structures. The relatively benign presentation of this case was probably due to the lack of the venom sac within the bee sting. To our knowledge, this is the first documented case of a corneal bee sting in a cat.
一只6个月大的雌性孟加拉猫因右眼角膜基质中部疑似植物性异物(FB)而被转诊。在角膜背侧发现一个小的黑色线性异物,并伴有细胞浸润。眼科检查其他方面正常,无前葡萄膜炎炎症反应,晶状体和眼底无异常。在全身麻醉下进行了手术摘除。在光学显微镜下观察,该异物为一只工蜂的螫针,没有毒囊。药物治疗包括局部和全身使用抗生素及类固醇,并局部使用阿托品。随访情况良好。
眼部被蜜蜂蜇伤在人类中已有报道,其后果多样,从轻度结膜炎到影响角膜、虹膜、晶状体和视网膜的严重病变。当发现螫针带有毒囊时,观察到的受影响最严重的病例,可能有更多的毒液注入眼部结构。该病例相对良性的表现可能是由于蜜蜂螫针中没有毒囊。据我们所知,这是第一例有记录的猫角膜被蜜蜂蜇伤的病例。