Statistical Analysis of Bee Stings Treated Over a 7-Year Period
- VernacularTitle:八幡病院における最近７年間の蜂刺症の検討
- Author:
Manabu MAEDA
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2023;72(1):11-17
- CountryJapan
- Language:Japanese
- Abstract: Statistical analysis of bee stings was carried out for patients who visited Hachiman Hospital during the 7-year period from April, 2015 to October, 2021. Of 234 total cases, 223 were analyzed (105 men, 118 women;age 44.6±21.8 years; range 7-97 years). The mean number of cases per year was 30, although there were twice as many in 2016 when the rainfall was low. August was the month with the most cases, and most bee stings occurred in the morning. Most patients were stung only once, and the most common sites were the hands, followed by the upper extremities, head, face, lower extremities, trunk, feet, and neck. Erythema and swelling were the most common clinical manifestations, followed by petechiae, purpura, and vesicles (erosion). Systemic symptoms were observed in 19 cases (8.1%), including pharyngeal swelling, pruritis, urticaria, and fatigue. Swelling was the most common clinical manifestation in patients stung by paper wasps, but a wide range of symptoms were observed in patients stung by hornets. Effective treatment were corticosteroids (p.o. and ointment), anti-allergic medicines (p.o), biscoclaulin alkaloid (cepharanthine;20-30 mg injection), and kampo medicine (Saireito 7.5 g/day).
