Serife Bilgehan Arici
Bee stings may cause clinical presentations ranging from mild local reactions to life-threatening anaphylaxis. Stings involving the face and upper airway region are particularly important because of the risk of laryngeal edema and airway obstruction. In this case report, we present the emergency department evaluation and management of a 40-year-old male patient who developed progressive facial swelling after being stung by a bee on the nose. On admission, the patient’s vital signs were stable except for an oxygen saturation of 92%, and progressive facial edema was observed. Due to the risk of laryngeal edema and airway compromise, intramuscular epinephrine was considered, and the patient was treated with intravenous methylprednisolone and antihistamines under hospital conditions with close observation. Early recognition and prompt intervention prevented further airway complications. This case highlights the importance of close monitoring, airway assessment, and timely pharmacological treatment in Hymenoptera stings involving the facial region.