Oropharyngeal bee sting-unusual but life threatening site

Abstract

Hymenoptera stings are among the most significant causes of anaphylaxis in the entire world. The response varies with symptoms ranging from skin reactions like rash and itching to respiratory discomfort, gastrointestinal issues, and cardiovascular failure. 
We report a case of a 34 years old male who survived after sustaining an oropharyngeal bee sting, one of a rare site but life-threatening one. He presented after having painful swallowing in the throat while drinking a local beverage, trouble breathing, hoarseness of voice, speech interruption, and a feeling of a bump in the throat. On physical exam, he was desaturating, tachypneic, and wheezing. He was kept in the emergency department with upper suspected airway obstruction secondary to an oropharyngeal bee sting. He was managed with O2 support, repeated doses of adrenalin, steroids, and salbutamol, and then discharged home improved. 

Keywords: Anaphylaxis, Envenomation, Bee sting, Oropharyngeal, Airway