Bee allergy
Case Report: Severe Allergic Reaction to Bee Sting
Patient History
The patient, a previously healthy individual with no known allergies, sustained a bee sting at the hairline on the forehead while walking a dog. The initial pain was minimal, leading the patient to continue their activity without immediate treatment.
Timeline of Symptoms
Two Hours Post-Sting:
- The patient observed swelling around the right eye, indicative of an allergic reaction.
- Despite the application of CDL (Chlorine Dioxide) compresses, the venom had disseminated through the lymphatic system, resulting in significant swelling across the right side of the face and neck.
Evening After the Sting:
- The swelling persisted due to lack of compression during the night. The patient reported difficulty opening the affected eye, which was severely swollen.
- Continued application of CDL compresses throughout the day resulted in gradual improvement, allowing for slight eye opening by evening.
Second Day Post-Sting:
- The patient presented with marked facial asymmetry and persistent swelling.
- CDL treatment was maintained, providing symptom relief and cooling effects.
One Week Post-Sting:
- The patient demonstrated complete resolution of symptoms with no residual pain or swelling noted.
Discussion
This case illustrates the potential severity of allergic reactions to insect stings, even in previously unaffected individuals. The rapid progression of swelling emphasizes the importance of immediate treatment following stings, particularly in those with a family history of severe allergic responses. The use of CDL compresses proved beneficial in managing symptoms and reducing discomfort.
Conclusion
The patient fully recovered within one week without complications. No adverse effects were observed