Li Tang-Jiang, Xiang Min, Lv Xin
Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, People's Republic of China.
Department of Pediatric Surgery, Guizhou Children's Hospital, Zunyi, 563000, People's Republic of China.
Risk Manag Healthc Policy. 2023 Feb 20;16:247-253. doi: 10.2147/RMHP.S381303. eCollection 2023.
Bee sting injuries in children are accidental and occur in rural areas in summer and autumn. They have the characteristics of rapid onset, rapid change, many complications, complex treatment, and high disability rate. Patients experience various symptoms, such as vomiting, diarrhea, dyspnea, angioedema, multiple neuritis, myocardial infarction, acute renal failure, hypotension, and collapse. Systemic complications of the nervous system are rare. However, some cases of stroke, optic neuritis, and acute disseminated encephalomyelitis are related to bee stings. There are many cases of systemic multiple organ dysfunctions after bee sting injury, but there are few reports of facial nerve injury. The case presented here was caused by bee venom. This report is important because there are few instances of facial paralysis in the large number of notified bee sting cases. After active treatment, the facial paralysis of the child recovered gradually.
The patient was a 6-year-old boy. The bee stings by bee swarm induced pain in many parts of the body for 8 h. After the injury, he had skin itching, rash, swelling, and pain in the head and face. The boy had soy sauce-colored urine later and was transferred to the Affiliated Hospital of Zunyi Medical University from a lower-level hospital for treatment. On the seventh day after transfer, the child suddenly suffered from deviated mouth, which was considered a delayed facial nerve injury. After active treatment, he recovered from facial paralysis and was discharged from the hospital.
This case report adds the clinical manifestation of facial paralysis after bee stings. They require close observation and being alert to possible clinical manifestations, as well as carrying out active intervention treatment.
儿童蜂蜇伤多为意外事件，好发于夏秋季节的农村地区。其具有起病急、变化快、并发症多、治疗复杂、致残率高的特点。患者可出现多种症状，如呕吐、腹泻、呼吸困难、血管性水肿、多发性神经炎、心肌梗死、急性肾衰竭、低血压及虚脱等。神经系统的全身性并发症较为少见。然而，有一些中风、视神经炎及急性播散性脑脊髓炎的病例与蜂蜇伤有关。蜂蜇伤后出现全身性多器官功能障碍的病例较多，但面神经损伤的报道较少。本文报道的病例是由蜂毒引起的。该报道具有重要意义，因为在大量已通报的蜂蜇伤病例中，面瘫的情况较为少见。经过积极治疗，患儿的面瘫逐渐恢复。
患者为一名6岁男孩。被蜂群蜇伤后，身体多处疼痛8小时。受伤后，他出现皮肤瘙痒、皮疹、头部及面部肿胀疼痛。患儿随后出现酱油色尿，从下级医院转至遵义医科大学附属医院治疗。转院后第7天，患儿突然出现口角歪斜，考虑为迟发性面神经损伤。经过积极治疗，面瘫恢复，患儿出院。
本病例报告补充了蜂蜇伤后出现面瘫的临床表现。对于此类情况需要密切观察，警惕可能出现的临床表现，并积极进行干预治疗。
