Anaphylaxis and Diffuse Alveolar Hemorrhage Following Bee Sting

Insect stings and subsequent reactions are com-mon occurrences, but life-threatening systemic reactions are quite rare. Diffuse alveolar hemor-rhage is a clinical entity seen in many different disease processes and includes hemoptysis, anemia, diffuse radiographic pulmonary infiltrates, and hypoxemic respiratory failure, which can be severe. Radiologic features may mimic cardiogenic pulmonary edema, severe infection or uremia. We describe a 23-year-old girl who developed symptoms of anaphylactic shock and diffuse alveolar hemorrhage within 30 minutes following a bee sting.