Dark colors are known to stimu- late attack more readily than light colors,5 hence beekeepers wear white outfits. We attempted to de- termine whether bees attacked the black areas of the dog in preference to the lighter and yellow areas. Hypersensitivity reactions typically occur as a result of one or a few stings and are not related to venom toxicity. Toxic envenomation results di- rectly from venom toxicity. In adult people, toxic re- actions can become evident when the sting number exceeds 300 and are very likely with more than 500 stings.
Death is the ultimate result of toxic envenomation.
In this case, the dog received four times the number of stings required for al- most certain death. No antivenin is available. Urinary alkalization may be indicated if rhabdomyolysis is se- vere. Fluid or blood re- placement after marked renal and gastrointestinal blood losses may be indicated. Hepatic enzymes and bilirubin may exhibit a modest rise.