Floor of the nose mucosa lysis and labial abscess caused by a bee sting.
Hymenoptera order includes bees, which have a stinging apparatus at the tail capable of delivering venom to the affected tissues. Myocardial infarction, acute renal failure, Necrotizing fasciitis, fatal infection and hemifacial asymmetry, are some of the unusual reactions reported following hymenoptera stings. This paper reports a case of bee sting in the right floor of the nose that mimicked an odontogenic infection affecting the upper lip, canine space and nasal cavity such as in cases of infection secondary to pulpal or periodontal pathology of the anterior teeth. After a thorough clinical and radiographic examination, odontogenic infection was discarded and the diagnosis of floor of the nose mucosal lysis and lip abscess secondary to a bee sting was made. This case was successfully managed with adequate incision, drainage and antibiotics without any further complication. There are several reports of unusual reactions following hymenoptera stings. However, just a few of them referred to infections of local reactions and none of them related to the anatomic location affected in the patient of the present case. Early diagnosis and treatment prevented infection dissemination and the likelihood of tissue necrosis as in previously reported cases of Necrotizing fasciitis.
Department of Oral and Maxillofacial Surgery, Zacamil's Nacional Hospital, Evangelic University of El Salvador, San Salvador, El Salvador. dr.aleman@maxilofacialelsalvador.com
Ramón Manuel
RM
Alemán Navas
María Guadalupe
MG
Martínez Mendoza
Henry
H
Herrera
Helen Piccolo de
HP
Herrera
D000038:Abscess / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D000328:Adult; D000818:Animals; D001514:Bee Venoms / Q000009:adverse effects; D001516:Bees; D003646:Debridement; D003751:Dental Fistula / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D003937:Diagnosis, Differential; D004322:Drainage; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D008047:Lip Diseases / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D008297:Male; D009297:Nasal Mucosa / Q000473:pathology*; D014076:Tooth Diseases / Q000473:pathology; D016896:Treatment Outcome
D001514:Bee Venoms