Transient ischemic liver injury and respiratory failure in a COVID-19-positive patient after multiple bee stings.

Autor: Yesiloglu O; Emergency Medicine Clinic, Gaziantep 25 Aralik State Hospital, Adana, Turkey., Sonmez A; Department of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey., Avci BS; Department of Internal Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey., Sumbul HE; Department of Internal Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey., Avci A; Department of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Adana, Turkey.
Jazyk: angličtina
Zdroj: Turkish journal of emergency medicine [Turk J Emerg Med] 2023 Jan 02; Vol. 23 (1), pp. 57-60. Date of Electronic Publication: 2023 Jan 02 (Print Publication: 2023).
DOI: 10.4103/2452-2473.366488
Abstrakt: We present a patient with multiple bee stings who developed lung and liver injuries and subsequently tested positive for coronavirus disease 2019 (COVID-19). A 65-year-old male patient presented to the emergency department after being stung by more than 100 honeybees. His physical examination revealed pustular lesions distributed across his chest, arms, back, legs, and head, marking the sting zones. While the patient had no history of liver disease, initial laboratory test results showed elevated liver enzyme levels. A chest computer tomography scan was ordered, revealing bilateral ground-glass opacities suggesting COVID-19. His condition worsened over the course of the following day, and when he was admitted to the intensive care unit (ICU), his SpO 2 decreased to 83% despite oxygen support with a mask. The second polymerase chain reaction test taken in the ICU was positive for COVID-19 infection. After stung with multiple bees, the patient developed acute liver injury and suffered from concomitant COVID-19-related respiratory insufficency, and he was treated accordingly. Starting on the 5 th day, the patient's liver markers began to improve, and on the 13 th day, he was discharged with normal vital signs and liver enzyme values. There seem to be varying outcomes across different studies with regard to the relationship between bee stings and COVID-19. Further research is needed to explore the possibility of this complementary treatment with bee venom in the prevention of severe acute respiratory syndrome coronavirus-2 infection.
Competing Interests: None declared.
(Copyright: © 2023 Turkish Journal of Emergency Medicine.)
Databáze: MEDLINE
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