title: [Mortal poisoning by bee stings in a child: Study of a case observed in the regional hospital of Maradi (Niger)].
abstract: We report a fatal case due to a massive attack by a swarm of bees in a nine-year-old child. The accident was fatal because of two aggravating factors: the cephalic location and the large number of stings (about 300). Complications were coagulopathy, anemia, hemorrhage, coma, and oligoanuria. Support was symptomatic at a facility second level. The outcome was fatal within 14 days. In view of the encountered difficulties, we recommend to build written protocols for the management of envenomation in any health training reference.
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger. soumanaalido@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Soumana
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: M
authors.initials: M
authors.lastname: Kamaye
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: M
authors.initials: M
authors.lastname: Mamane
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: D
authors.initials: D
authors.lastname: Mamoudou
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: A
authors.initials: A
authors.lastname: Samailla
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: A
authors.initials: A
authors.lastname: Moussa
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: H
authors.initials: H
authors.lastname: Dima
authors.affiliation: Service de pédiatrie, hôpital national de Lamordé, université Abdou-Moumouni-Dioffo, Niamey, Niger.
authors.forename: T
authors.initials: T
authors.lastname: Guéro
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000473:pathology; D000818:Animals; D001002:Anuria / Q000209:etiology / Q000473:pathology; D001516:Bees; D002648:Child; D017809:Fatal Outcome; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications / Q000473:pathology*; D008297:Male; D009548:Niger
keywords: Child; Envenomation; Hospital; Maradi; Niger; Sub-Saharan Africa; Therapeutics