Floor of the nose mucosa lysis and labial abscess caused by a bee sting

Abstract

Hymenoptera order includes bees, which have a stinging apparatus at the tail capable of delivering venom to the affected tissues. Myocardial infarction, acute renal failure, Necrotizing fasciitis, fatal infection and hemifacial asymmetry, are some of the unusual reactions reported following hymenoptera stings. This paper reports a case of bee sting in the right floor of the nose that mimicked an odontogenic infection affecting the upper lip, canine space and nasal cavity such as in cases of infection secondary to pulpal or periodontal pathology of the anterior teeth. After a thorough clinical and radiographic examination, odontogenic infection was discarded and the diagnosis of floor of the nose mucosal lysis and lip abscess secondary to a bee sting was made. This case was successfully managed with adequate incision, drainage and antibiotics without any further complication. There are several reports of unusual reactions following hymenoptera stings. However, just a few of them referred to infections of local reactions and none of them related to the anatomic location affected in the patient of the present case. Early diagnosis and treatment prevented infection dissemination and the likelihood of tissue necrosis as in previously reported cases of Necrotizing fasciitis.

Acute renal failure and/or rhabdomyolysis due to multiple bee stings: A retrospective study

“…[3132] When bee inoculation on the floor of nose, it is observed to cause floor of the nose lysis and lip abscess. [33] Here in our study, we had a case (Case 9) where the patient had throat pain and change in voice. Her vocal cords were normal but she had bilateral arytenoids congestion.…”

A Foreign Body Granuloma of the Buccal Mucosa Induced by Honeybee Sting

“…The most critical consequence of bee sting is anaphylactic shock. Bee venom is a complex toxin comprising various kinds of chemicals including melittin, apamin, adolapin, phospholipase A2, hyaluronidase, and histamine [3, 4], and generalized allergic reaction to these chemicals develops in 0.3~5% of people [2]. About 40 deaths per year by bee sting are reported in the United States [2].…”

“…The persisting antigens are thought to elicit development of an immune complex-medicated reaction, activating macrophage leading to a granulomatous inflammation [6]. As a result, a foreign body granuloma is formed at the site of the sting [4, 6]. Bee stings can also induce local infection because the stinging apparatus lodged in the tissue is contaminated with pathological bacteria [4].…”

“…As a result, a foreign body granuloma is formed at the site of the sting [4, 6]. Bee stings can also induce local infection because the stinging apparatus lodged in the tissue is contaminated with pathological bacteria [4]. …”

Stroke intracerebral multiple infarcts: Rare neurological presentation of honey bee bite

“…[1] As many of these species live in colonies, numerous stings are common. Although most stings cause only minor problems like local reactions, others may cause serious problems like rhabdomyolysis, intravascular coagulation, cerebral hemorrhage, acute pulmonary edema, acute renal failure (ARF) and even death.…”