Alan Shaji, Malik Parvez, Naresh Kumar Chirumamilla, Nalin Sharma,Ashok Kumar Pannu

Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Keywords: Bee sting, case report, diffuse alveolar hemorrhage, envenomation, honeybee, pulmonary-renal syndrome, renal failure


Honeybee stings with features of envenomation (either local or allergic and rarely systemic toxicity) are often seen in agriculture workers. An initial presentation with severe diffuse alveolar hemorrhage or pulmonary-renal syndrome is rare and only confined to a few case reports. Herein, we describe a case of a 45-year-old male who presented with multiple bee stings and subsequently developed acute kidney injury and pulmonary hemorrhage. He was managed with hemodialysis, invasive mechanical ventilation, red-cell transfusion, and pulse methylprednisolone. However, he developed cardiac arrhythmias with ventricular tachycardia and died.

How to cite this article: Shaji A, Parvez M, Chirumamilla NK, Sharma N, Pannu AK. Severe pulmonary-renal syndrome in honeybee sting envenomation – A case report. Turk J Emerg Med 2023;23:246-9.

Author Contributions

1 AS: collected patient data, drafted the manuscript
2 MMP, 3 NKC, 4 NS: collected patient data
5 AKP: collected patient data, drafted and revised the manuscript
The corresponding author is responsible for ensuring that the descriptions are accurate and agreed by all authors

Conflict of Interest

None declared.

Financial Disclosure