Adrenal hemorrhage and rhabdomyolysis following mass bee sting envenomation: An autopsy based case report

Hymenoptera stings causes variety of sting reactions ranging from subtle allergic reactions to multiple-organ failure leading to death with a mortality rate of 1–5% in various countries. We report a case of elderly male who was stung by multiple bees. During the course of treatment, he developed multiple organ failure and succumbed to death. Medicolegal autopsy reveal congested of all internal organs and adrenal hemorrhage. Histopathological Examination revealed acute tubular necrosis with myoglobin casts. Postmortem serum IgE levels and creatne kinase levels were elevated. Adrenal haemorrhage in bee sting fatalites is rarely reported in literature.