On 30/7, Viet - Han Da Nang Hospital announced that patient Nguyen So, 98 years old, residing in Nui Thanh commune, has recovered and is eligible for discharge.

The elderly man was attacked by a swarm of hornets while gardening on 18/7. He was rushed to the emergency room with nearly 80 stings on his back, limbs, and head. Upon arrival, he had swollen eyes, pale skin and mucous membranes, and labored breathing. Laboratory tests revealed an increased white blood cell count, severe coagulation disorder, elevated liver and muscle enzymes, respiratory failure, and acute liver and kidney damage.

Hornet stings on Mr. So's body. *Photo: Bui Huan*

Doctors from the Intensive Care and Anti-poison Department, Viet - Han Da Nang Hospital, initiated treatment following a protocol that included respiratory support, fluid infusion, electrolyte adjustment, anti-allergy medication, antibiotics, and continuous dialysis.

Doctor Nguyen Bao Chi, from the Intensive Care and Anti-poison Department, explained that the patient's advanced age, combined with the large amount of toxins from numerous stings, led to a critical condition. The most dangerous complications were rapidly progressing kidney failure, liver damage, coagulation disorder, and respiratory failure.

"Continuous dialysis aims to remove toxins, support kidney function, and control metabolic disorders. The patient was closely monitored hour by hour to promptly manage any abnormal developments," said Doctor Chi.

Mr. So underwent 12 days of intensive treatment. *Photo: Bui Huan*

Following intensive resuscitation, the patient's condition gradually improved, and his liver and kidney functions recovered. He was then transferred to the Department of Tropical Diseases for continued respiratory monitoring and infection control before being discharged.

Doctors warn that multiple hornet stings can cause systemic poisoning, rhabdomyolysis, acute kidney failure, liver damage, coagulation disorder, and multi-organ failure. Elderly individuals or those with underlying health conditions face a high risk of death in such situations.

If stung by a bee or hornet and experiencing symptoms such as difficulty breathing, dizziness, facial swelling, reduced urination, or dark urine, seek medical attention immediately. Do not attempt self-treatment at home.

Nguyen Dong