Acute renal failure after massive honeybee stings
Rev. Inst. Med. Trop. Säo Paulo
;
45(1): 45-50, Jan.- Feb. 2003. ilus, tab, graf
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Abelhas
/
Injúria Renal Aguda
/
Mordeduras e Picadas de Insetos
Limite:
Animais
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. Inst. Med. Trop. Säo Paulo
Assunto da revista:
Medicina Tropical
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Instituto José Frota/BR
/
Universidade Federal do Ceará/BR
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