31 August 2019 : Case report
A Case of Conjunctival Bee Sting Injury with Review of the Literature on Ocular Bee Stings
Unusual clinical course, Management of emergency careAxelle Semler-Collery1ABCDEF, George Hayek1E, Sophie Ramadier2E, Jean-Marc Perone1ABCDEF*
Am J Case Rep 2019; 20:1284-1289
BACKGROUND: Ocular bee stings have been rarely described in the literature, and their management is controversial. A case of conjunctival bee sting with retention of the stinger for 48 hours is presented with a review of the literature on the complications and management of ocular bee sting injury.
CASE REPORT: A 22-year-old beekeeper presented to the Emergency Department with mild symptoms from a conjunctival bee sting that he had received 48 hours previously. The stinger was removed in the Emergency Department, and topical antibiotic and anti-inflammatory treatment with corticosteroid were given. There were no complications in this case. However, review of the literature has shown that although the outcome from ocular bee stings can be mild, as in this case, ocular bee stings can result in severe visual symptoms that require amniotic membrane transplant (AMT). Management commonly includes removal of the stinger and both topical and systemic treatment with corticosteroids. The main complications include cataracts, inflammation of the anterior chamber, optic neuropathies, and changes in ocular pressure.
CONCLUSIONS: Ocular bee stings have been rarely described in the literature, and the management remains controversial. As this case has shown, removal of the stinger and the use of topical treatment with antibiotics and corticosteroids can prevent potentially serious complications that may affect vision. Early and regular follow-up with ocular imaging may be required when symptoms persist.
Keywords: Adaptation, Ocular, Bees, case reports, Conjunctiva, Cornea, Anti-Bacterial Agents, Dexamethasone, Drug Therapy, Combination, Glucocorticoids, Insect Bites and Stings, Ophthalmic Solutions, Tobramycin, young adult
31 May 2023 : Case reportPreoperative Clinical Prediction of Parathyroid Carcinoma: Two Rare Case Presentations and a Review of Lite...
Am J Case Rep In Press; DOI: 10.12659/AJCR.940611
31 May 2023 : Case reportInflammatory Arthritis After COVID-19: A Case Series
Am J Case Rep In Press; DOI: 10.12659/AJCR.939870
31 May 2023 : Case reportCondyle Fracture Fixed with Custom-Made Titanium Mesh and a Miniplate: A Case Report
Am J Case Rep In Press; DOI: 10.12659/AJCR.940681
31 May 2023 : Case reportThe Reemerging Condition of Vaccinia: A Case Report and Brief Review of Monkeypox and Vaccinia Vaccines
Am J Case Rep In Press; DOI: 10.12659/AJCR.941006
Most Viewed Current Articles
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406
13 Jul 2022 : Case reportWhistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound
Am J Case Rep 2022; 23:e936441
07 Dec 2021 : Case reportEdwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...
Am J Case Rep 2021; 22:e934347
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250