Acute renal failure after massive honeybee stings
Rev. Inst. Med. Trop. Säo Paulo
;
45(1): 45-50, Jan.- Feb. 2003. ilus, tab, graf
Artículo
en Inglés
| LILACS
| ID: lil-330513
ABSTRACT
Two clinical cases of patients who survived after numerous attacks of Africanized bees (600 and 1500 bee stings, respectively) are reported. Clinical manifestation was characterized by diffuse and widespread edema, a burning sensation in the skin, headache, weakness, dizziness, generalized paresthesia, somnolence and hypotension. Acute renal failure developed and was attributed to hypotension, intravascular hemolysis, myoglobinuria due to rhabdomyolysis and probably to direct toxic effect of the massive quantity of injected venom. They were treated with antihistaminic, corticosteroids and fluid infusion. One of them had severe acute renal failure and dialysis was required. No clinical complication was observed during hospital stay and complete renal function recovery was observed in both patients. In conclusion, acute renal failure after bee stings is probably due to pigment nephropathy associated with hypovolemia. Early recognition of this syndrome is crucial to the successful management of these patients
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Abejas
/
Lesión Renal Aguda
/
Mordeduras y Picaduras de Insectos
Límite:
Animales
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. Inst. Med. Trop. Säo Paulo
Asunto de la revista:
Medicina Tropical
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Instituto José Frota/BR
/
Universidade Federal do Ceará/BR
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