![]() The patient was transferred to our institution, The Johns Hopkins Hospital, Baltimore, for evaluation of presumptive prosthetic valve endocarditis. At the time of admission, his temperature was 41.4☌, and his systolic blood pressure was 70 mm Hg. The patient became increasingly lethargic, was moaning, and eventually fell out of bed, which prompted his admission to a hospital. Within 24 h of the onset of these symptoms, the patient developed severe pain in the right foot, which led to an inability to bear weight on the right leg. Less than 2 weeks after the bee sting, intense pain in the left hand, malaise, and chills developed. The man had undergone aortic valve replacement 12 years before presentation, and he had undergone placement of a cardiac pacemaker 2 years before presentation. The left hand of a 71-year-old man was stung by a bee. We report a case of fatal disseminated infection after a bee sting to our knowledge, it is the first such case ever reported in the English-language medical literature. There are rare reports of local and disseminated infections after bee stings, none of which proved fatal. Deaths due to massive envenomation have also been noted, especially among individuals stung by so-called Africanized honeybees, which attack in great numbers. When they do occur, the deaths are usually due to anaphylactic shock, suffocation after stings in the airways, or preexisting diseases, such as atherosclerotic heart disease. ![]() Deaths resulting from bee stings are uncommon. ![]()
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