Anaphylaxis Following Multiple Bee Stings in a Rural Primary Health Centre: A Case Report and Literature Review

Abstract Introduction: Hymenoptera stings can cause severe allergic reactions, including life-threatening anaphylaxis. Rapid recognition and treatment are essential, especially in rural settings with limited resources.Case Presentation: A 33-year-old male farmer presented to a rural PHC 30 minutes after multiple bee stings to the face, neck, arms, and trunk. On arrival, he had BP 100/60 mmHg, pulse 110 bpm, SpO₂ 90%, mild dyspnea, and facial swelling. Immediate intramuscular adrenaline, oxygen therapy, intravenous fluids, and adjunctive medications were administered. The patient was stabilized and referred to a tertiary hospital for observation.Conclusion: Early administration of intramuscular adrenaline remains the cornerstone of anaphylaxis management. This case highlights the importance of preparedness and training at the primary care level in rural areas.