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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 6  |  Page : 1829-1830
Drinking juice and tongue bee sting: A case


1 RVT Medical Center, Bangkok, Thailand
2 Hainan Medical University, Hainan, China

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Date of Web Publication11-Jan-2018
 

How to cite this article:
Sriwijitalai W, Wiwanitkit V. Drinking juice and tongue bee sting: A case. Ann Trop Med Public Health 2017;10:1829-30

How to cite this URL:
Sriwijitalai W, Wiwanitkit V. Drinking juice and tongue bee sting: A case. Ann Trop Med Public Health [serial online] 2017 [cited 2018 Aug 15];10:1829-30. Available from: http://www.atmph.org/text.asp?2017/10/6/1829/188516


Dear Editor,

Bee sting is a common insect envenomous illness seen in tropical countries. The problem can be often seen and the proper case management is needed. Generally, bee sting can be seen at any part of human body. However, some parts are rarely involved. Intraoral bee sting is an extremely rare case. Here, the author report a case of tongue bee sting following drinking juice contaminated with sting of the bee. A 17 years old male student visited to the health unit complaint of acute pain at tongue. His tongue was swollen after drinking a cup of juice that he bought from a local wandering food stall. On examination, his tongue swelled and there was a sting on his tongue. The sting was removed and he was given steroid and paracetamol injections. The history revealed that there were many bees flying around the sold juice at the wandering food stall. The cause of the illness is believed to be due to contaminated bee's sting in the juice that the patient bought from the wandering food stall. This is a very unique case, as the bee did not directly sting the patient but the patient drunk the juice with contaminated sting and got the envenomous problem. In fact, insect sting has to be included in the differential diagnosis of tongue swelling, especially for the cases seen in tropical countries.[1] The problem can be severe and fatality is possible.[2]

For the proper management, Tome et al.[3] noted that “orofacial bee sting victims should be given parenteral treatment with epinephrine, steroids, antihistamines, and inhalational bronchodilators even when they initially present with minimal symptoms, with general anaphylaxis management in large envenomations, as well as immediate endotracheal intubation and mechanical ventilation for at least 24 hours in patients with signs of airway compromise.”

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest to declare.



 
   References Top

1.
Hayashi T, Tsokos M. The differential diagnosis of tongue swelling. Forensic Sci Med Pathol 2013;9:462-64.  Back to cited text no. 1
[PUBMED]    
2.
Nowak R, Gottlöber P, Peter RU. Death after bee-sting. Hautarzt 2003;54:348-50.  Back to cited text no. 2
    
3.
Tome R, Somri M, Teszler CB, Fradis M, Gaitini LA. Bee stings of children: when to perform endotracheal intubation?. Am J Otolaryngol 2005;26:272-74.  Back to cited text no. 3
[PUBMED]    

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Correspondence Address:
Won Sriwijitalai
RVT Medical Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.188516

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