RRH: envenoming syndrome due to 200 stings from Africanized honeybees

Silva, Guilherme Almeida Rosa da; Pires, Karina Lebeis; Soares, Diogo Cerqueira de Salles; Ferreira, Marcos Rosa; Ferry, Fernando Raphael de Almeida; Motta, Rogério Neves; Azevedo, Marcelo Costa Velho Mendes de

doi:10.1590/s0036-46652013000100011

Cited by 11 publications

(6 citation statements)

References 16 publications

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“…Bee venom is a complex mixture of amines and peptides, most notably mellitin, the main and most toxic compound and phospholipase A2, the most immunogenic peptide [2,7]. In addition to causing the pain associated with bee stings, mellitin functions as a lytic peptide that destroys cells and leads to intravascular hemolysis [7,10]. Manifestations of envenoming syndrome include rhabdomyolysis, AKI, myocardial necrosis and infarction, disseminated intravascular coagulation, seizures, stroke, thrombocytopenia, and centrilobular necrosis of the liver [2,6,10,11].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to causing the pain associated with bee stings, mellitin functions as a lytic peptide that destroys cells and leads to intravascular hemolysis [7,10]. Manifestations of envenoming syndrome include rhabdomyolysis, AKI, myocardial necrosis and infarction, disseminated intravascular coagulation, seizures, stroke, thrombocytopenia, and centrilobular necrosis of the liver [2,6,10,11]. Mortality from massive envenomation is often due to cardiac arrest or renal failure [11,12].…”

Section: Discussionmentioning

confidence: 99%

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A Case Report on Rhabdomyolysis After Multiple Bee Stings

Constantino

Pawlukiewicz

Spear

2020

Cureus

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Envenoming syndrome is an uncommon condition associated with significant morbidity and mortality following multiple Hymenoptera stings. We review the case of a 90-year-old male who presented after receiving greater than 100 bee stings and was found to have rhabdomyolysis with concomitant acute kidney injury. Physicians should consider envenoming syndrome in all patients presenting with greater than 50 bee stings, despite hemodynamically stability upon initial presentation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case Report on Rhabdomyolysis After Multiple Bee Stings

Constantino

Pawlukiewicz

Spear

2020

Cureus

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“…Delayed hypersensitivity is rarely observed. The notion of prior stings has not been reported for the patient, but the number of stings exceeds the threshold of one sting per kilogram that can lead to systemic effect in children [3].…”

Section: Discussionmentioning

confidence: 99%

“…Massive bee stings can be deadly from 20 bites/kg of weight [3] but cases of patients that have survived several hundred stings have been reported [2] [8] [9].…”

Section: Discussionmentioning

confidence: 99%

Deadly Envenomation by Massive Bee Stings in a 7-Year Old Child in Ouagadougou

Ouédraogo¹,

Yonaba²,

Kalmogho³

et al. 2017

OJPed

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Introduction: We are reporting a deadly case of massive bee stings observed in a 7-year-old child in Ouagadougou. Observation: The first symptoms, which appeared two hours after the stings of about 200 bees, motivated a consultation in a nearby dispensary in which the child received intravenous betamethasone before being referred to the University Hospital Center Yalgado Ouédraogo (CHUYO). Seven hours after the accident, a rapid deterioration in the general condition was noted with hemorrhage, respiratory distress, coma, and shock. A grade 3 anaphylaxis was diagnosed. The patient didn't survive despite of the cardiopulmonary resuscitation using adrenaline in intensive care. Conclusion: The massive bee stings have caused a severe biphasic anaphylactic reaction which could not be reversed by the adrenaline administered in the second phase. The development of a protocol would contribute to a better management of the cases.

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“…Bee envenomation is a problem in India, China, Latin America, Middle East, North and South Africa [16]. About 200 stings from Apis mellifera could cause envenoming syndrome in children and elderly [17] as multiple stings, not increased venom potency or delivery cause serious reactions [18]. Bee venoms differ in weight, concentrations of phospholipase and melittin [19].…”

Section: Introductionmentioning

confidence: 99%

Toxicosis of Snake, Scorpion, Honeybee, Spider, and Wasp Venoms: Part 2

Saganuwan¹

2021

Medical Toxicology

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Toxicosis is a poisoning caused by venomous animals such as snake, scorpion, honeybee, spider and wasp. Their poisons contain amino acids, peptides, proteins, enzymes and metallic ions that are responsible for neurotoxicity, hemotoxicity and myotoxicity. Because of in vivo therapeutic challenges posed by toxicosis, there is need for ideal therapeutic agents against envenomation caused by venomous animals. Findings have shown that toxicosis could be treated symptomatically. Snake and scorpion antivenins could be used for treatment of poisoning caused by snake, scorpion, honeybee, spider and wasp. The amount of antivenin is dependent on the quantity of venom injected into the affected individuals. Moreso, sympotomatic treatments are also done according to the systems affected. Hospitalization is necessary for assessment of therapeutic success.

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RRH: envenoming syndrome due to 200 stings from Africanized honeybees

Cited by 11 publications

References 16 publications

A Case Report on Rhabdomyolysis After Multiple Bee Stings

A Case Report on Rhabdomyolysis After Multiple Bee Stings

Deadly Envenomation by Massive Bee Stings in a 7-Year Old Child in Ouagadougou

Toxicosis of Snake, Scorpion, Honeybee, Spider, and Wasp Venoms: Part 2

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