Hymenoptera stings in Brazil: a neglected health threat in Amazonas State

Costa, Allyson Guimarães; Chaves, Bárbara Aparecida; Murta, Felipe; Sachett, Jacqueline de Almeida Gonçalves; Sampaio, Vanderson de Souza; Silva, Vanessa Costa; Monteiro, Wuelton Marcelo

doi:10.1590/0037-8682-0109-2017

Cited by 8 publications

(6 citation statements)

References 12 publications

(19 reference statements)

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“…Wasp sting incidents are common worldwide. A large number of published studies have provided information on this public health problem ( Xuan et al, 2010 ; Xie et al, 2013 ; Witharana et al, 2015 ; Costa et al, 2018 ). In this study, we showed elevated serum PCT levels in wasp sting patients.…”

Section: Discussionmentioning

confidence: 99%

The association between procalcitonin and acute kidney injury in patients stung by wasps

Zhang,

Feng,

Wang

et al. 2023

Front. Physiol.

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Introduction: The aim of this study was to investigate the status of serum procalcitonin (PCT) in patients stung by wasps and evaluate the association between PCT levels and acute kidney injury (AKI).Methods: Patients stung by wasps admitted to two tertiary hospitals between January 2017 and December 2020 were screened for enrollment. We evaluated serum PCT levels on admission in patients stung by wasps. The patients were divided into an AKI group and a non-AKI group. A logistic regression model was used to analyze the association between PCT status and AKI. The performance of PCT concentrations in predicting the occurrence of AKI was evaluated by the area under the receiver operating characteristic curve (AUROC).Results: A total of 138 patients were enrolled, and 66 patients suffered AKI. PCT levels were elevated in 78.99% of patients stung by wasps. Nearly half of the patients (47.83%) developed AKI. PCT levels were correlated with creatinine levels on admission (r = 0.787, 95% CI: 0.713–0.844). PCT levels in patients with AKI were higher than those in patients without AKI (p < 0.001). After adjustment for covariates, PCT levels on admission were independently associated with AKI (OR: 1.575, 95% CI: 1.071–2.317, p = 0.021). The AUROC of PCT levels on admission was 0.837 (95% CI, 0.771–0.902, p < 0.001). A PCT level of 0.57 μg/L was the cutoff for maximizing the Youden index; the specificity was 79.45%, and the sensitivity was 73.43%.Conclusion: Serum PCT levels may be a potential biomarker of AKI in patients stung by wasps.

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Section: Discussionmentioning

confidence: 99%

The association between procalcitonin and acute kidney injury in patients stung by wasps

Zhang,

Feng,

Wang

et al. 2023

Front. Physiol.

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“…Their modified ovipositor, located at the terminal region of the abdomen, functions as a sort of tubular sting that injects venom directly into their prey, enabling a more varied diet (STEEN et al, 2005). These ants have the ability to deliver painful stings that can result in a diverse range of injuries to the victim, from the pain of the sting itself to systemic manifestations such as fever, sweating, tremors, nausea, vomiting, lymphadenopathy, and cardiac arrhythmias (HADDAD et al, 1996;COSTA et al, 2018;SHARMA e UPADHYAY et al, 2021;AGARWAL et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

The allergic reaction caused by the bite of the Brazilian ant Dinoponera quadriceps

Feitosa,

Barbosa,

Silva

et al. 2023

coopex

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Ants are insects with a high potential to cause injuries in humans. In this study, we documented the first case report resulting from a sting by the Dinoponera quadriceps ant in Brazil. Dinoponera quadriceps stings can result in a range of injuries, including pain at the sting site and systemic symptoms such as fever, tremors, and cardiac arrhythmias. In this particular case, a 22-year-old man experienced swelling, redness, and a loss of tactile sensitivity at the sting site, followed by systemic symptoms such as edema, skin rashes, and shortness of breath. Medical treatment with antihistamines and corticosteroids led to a significant improvement. This case highlights the medical significance of the queenless ant D. quadriceps

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“…Hymenopteran venoms, inoculated during stings by ants, bees, and wasps, for example, are the most frequent cause of an IgE-mediated systemic hypersensitivity reaction in adults, which is a key process in drastic manifestations of anaphylaxis. 1,2 The clinical presentation of wasp envenomation is related to the components of the venom that contain phospholipase A1, hyaluronidase, antigen 5, melittin, amines such as histamine and serotonin and kinins, apamin and acetylcholine. 3 Acute renal failure, nephrotic syndrome, renal tubular acidosis, myocarditis, myocardial infarction, arrhythmias, centrilobular necrosis, pericolangitis, stroke, acute encephalopathy, hemolysis, disseminated intravascular coagulation, thrombocytopenia, and vasculitis are the main manifestations of a severe envenomation.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Late-Onset Pneumonitis after Apoica pallida (Insecta: Hymenoptera) Sting with Anaphylactic Reaction in the Brazilian Amazon

João

Bessa

Araújo

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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Hymenopteran venoms, inoculated during stings by ants, bees, and wasps, are the most frequent cause of an IgE-mediated systemic hypersensitivity reaction in adults, which is a key process in drastic manifestations of anaphylaxis. Respiratory involvement is usually caused by pulmonary edema but is rarely described as including interstitial pneumonitis or acute respiratory distress syndrome. Here, we describe a case of severe allergic reaction after a sting by Apoica pallens with late-onset pulmonary involvement, including signs of vasoplegia (pleural effusion) and interstitial pneumonitis with mild rhabdomyolysis. The presence of late onset of pulmonary involvement after a severe allergic reaction after a sting by A. pallens shows the importance of keeping a patient with severe reactions under medical care for a minimum of 5 days to avoid serious late complications outside the hospital environment.

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Hymenoptera stings in Brazil: a neglected health threat in Amazonas State

Abstract: Simple clinical observations and history of injury are critical information for prognostic improvement.

Cited by 8 publications

References 12 publications

The association between procalcitonin and acute kidney injury in patients stung by wasps

The association between procalcitonin and acute kidney injury in patients stung by wasps

The allergic reaction caused by the bite of the Brazilian ant Dinoponera quadriceps

Case Report: Late-Onset Pneumonitis after Apoica pallida (Insecta: Hymenoptera) Sting with Anaphylactic Reaction in the Brazilian Amazon

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