Risk Management and Healthcare Policy (Feb 2023)
Analysis of a Case of Facial Nerve Injury Caused by Bee Sting in a Child
Abstract
Tang-Jiang Li,1,2 Min Xiang,3 Xin Lv1,2 1Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, People’s Republic of China; 2Department of Pediatric Surgery, Guizhou Children’s Hospital, Zunyi, 563000, People’s Republic of China; 3Department of Electrocardiogram Room, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, People’s Republic of ChinaCorrespondence: Tang-Jiang Li, Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, People’s Republic of China, Tel +86 13984277525, Email [email protected]: Bee sting injuries in children are accidental and occur in rural areas in summer and autumn. They have the characteristics of rapid onset, rapid change, many complications, complex treatment, and high disability rate. Patients experience various symptoms, such as vomiting, diarrhea, dyspnea, angioedema, multiple neuritis, myocardial infarction, acute renal failure, hypotension, and collapse. Systemic complications of the nervous system are rare. However, some cases of stroke, optic neuritis, and acute disseminated encephalomyelitis are related to bee stings. There are many cases of systemic multiple organ dysfunctions after bee sting injury, but there are few reports of facial nerve injury. The case presented here was caused by bee venom. This report is important because there are few instances of facial paralysis in the large number of notified bee sting cases. After active treatment, the facial paralysis of the child recovered gradually.Case Presentation: The patient was a 6-year-old boy. The bee stings by bee swarm induced pain in many parts of the body for 8 h. After the injury, he had skin itching, rash, swelling, and pain in the head and face. The boy had soy sauce-colored urine later and was transferred to the Affiliated Hospital of Zunyi Medical University from a lower-level hospital for treatment. On the seventh day after transfer, the child suddenly suffered from deviated mouth, which was considered a delayed facial nerve injury. After active treatment, he recovered from facial paralysis and was discharged from the hospital.Conclusion: This case report adds the clinical manifestation of facial paralysis after bee stings. They require close observation and being alert to possible clinical manifestations, as well as carrying out active intervention treatment.Keywords: children, bee sting, facial nerve injury, combined treatment
