Presumptive immune‐mediated thrombocytopenia secondary to massive Africanized bee envenomation in a dog

• DOI: 10.1111/vec.12120
• Publication Date: 2013-12-04T21:43:32Z
• Authors: Reid K. Nakamura; Renee K. Fenty; Domenico Bianco
• Keywords: 0403 veterinary science; Bee Venoms; Purpura, Thrombocytopenic, Idiopathic; Dogs; Animals; Insect Bites and Stings; Female; Dog Diseases; 04 agricultural and veterinary sciences; Bees; 3. Good health

To describe a case of immune-mediated thrombocytopenia (IMT) after massive Africanized bee envenomation in dog.While boarding at kennel, dog was stung by approximately 300 bees. During initial veterinary examination, the deemed to be shock, characterized collapse, with hypotension, bradycardia, and hypoglycemia. In addition, severe diffuse erythema edema were noted over entire body. Supportive care, including IV crystalloid colloid fluids, dextrose, fresh frozen plasma, oxygen therapy, broad spectrum antimicrobials, dexamethasone, diphenhydramine initiated. The dog's condition stabilized next 2 days. Forty-eight hours admission developed hematemesis hematochezia, identified. Extensive diagnostic investigation revealed no likely trigger other than Africianized exposure, diagnosis IMT made. Following red blood cell transfusion immunosuppressive doses dexamethasone gastroprotectant stabilized, platelet count returned normal 7 days from initiation therapy.IMT is possible sequelae dog.