{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:08:39Z","timestamp":1777896519863,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Incidences of multiple bee stings have been increasing globally; the substantial amount of bee venom injected in such incidents can result in anaphylactic shock, rhabdomyolysis and renal failure, proving fatal in some cases. While anaphylactic reactions are more common and have established treatment protocols, inflammatory response induced by the venom demands a tailored approach. Here we report a case of a 70-year-old male in India who succumbed from approximately 500 bee stings. Based on our literature review, this case stands out as one of the first reported fatalities caused by 500 bee stings in our country. The unidentified species of bees in this case makes management of such bee venom-related toxic reactions more difficult. This report emphasises the importance of prompt and appropriate interventions.<\/jats:p>","DOI":"10.1177\/00258172241241463","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T23:33:27Z","timestamp":1718321607000},"page":"223-225","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["500 bee stings in a single fatal encounter"],"prefix":"10.1177","volume":"92","author":[{"given":"Tanya","family":"Singh","sequence":"first","affiliation":[{"name":"Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jagadish R","family":"Padubidri","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshath","family":"KS","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, SNR District Hospital, Kolar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sowmya J","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Sharavathi Dental College, Shimoga, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7386-0384","authenticated-orcid":false,"given":"Matthew A","family":"Manoj","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"bibr1-00258172241241463","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20222540"},{"key":"bibr2-00258172241241463","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.5303"},{"key":"bibr3-00258172241241463","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7227a6"},{"key":"bibr4-00258172241241463","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-002-0888-0"},{"issue":"7","key":"bibr5-00258172241241463","first-page":"e9501","volume":"12","author":"Constantino K","year":"2020","journal-title":"Cureus"},{"issue":"1","key":"bibr6-00258172241241463","first-page":"33","volume":"12","author":"Shetty SK","year":"2012","journal-title":"J Punjab Acad Forensic Med Toxicol"},{"key":"bibr7-00258172241241463","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2019.02090"},{"key":"bibr8-00258172241241463","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2020.03.007"},{"key":"bibr9-00258172241241463","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.109202"}],"container-title":["Medico-Legal Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172241241463","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258172241241463","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172241241463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:29:16Z","timestamp":1777624156000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258172241241463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,13]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1177\/00258172241241463"],"URL":"https:\/\/doi.org\/10.1177\/00258172241241463","relation":{},"ISSN":["0025-8172","2042-1834"],"issn-type":[{"value":"0025-8172","type":"print"},{"value":"2042-1834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,13]]}}}