TITLE

Acute renal failure due to multiple stings by Africanized bees. Report on 43 cases

AUTHOR(S)
Mejía-Vélez, G.
PUB. DATE
October 2010
SOURCE
Nefrologia;Oct2010, Vol. 30 Issue 5, p531
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Acute renal failure due to multiple stings by Africanized bees. Report on 43 cases. This study reports on acute renal failure (ARF) due to multiple stings by Africanized bees (AB) occurring in 43 cases collected between 1982 and 2007 (at the Nephrology Section, University of Antioquia School of Medicine and San Vicente de Paul University Hospital, Medellin, Colombia). No intervention on patient care was performed except for responding the Nephrology consult and prescribing dialysis. Data obtained from the medical records included demography; clinical presentation; laboratory results on admission; evolution of renal function to document improvement and normalization; intervals between stings and outcomes; number of dialysis sessions; length of follow-up and hospitalization; survival; and mortality. Not all patients had complete data and therefore, the number of observations is included where required. Mean age was 56 ± 26 yr (range 2-96); 37 (86%) were men; 38 (of 41 cases) came from rural areas (91%); 22 (of 39) were farmers (56.4%); 33 (of 41) lived in Medellin or in the department of Antioquia (80.5%). Number of stings per patient: ~900. Interval between stings and ARF < 48 hours: in 31 cases (72.1%; mean 2.6 ± 2.6 days; range 1-12); 37 (of 43) required dialysis (86%); mean number of sessions: 4.7 ± 3.3 (range 1-12). Survival occurred in 36 cases (83.7%) and mortality, in 7, all > 60 yr (16.3%). At last follow-up, renal function improvement was documented in 36 (83.7%) and normalization in 15 of them (41.7%). Interval until initiation of diuresis: 10.6 ± 6.8 days (range 1-25). Duration of hospitalization: 16.9 ± 8.7 days (range 1-39). Follow-up: 25.2 ± 18.3 days (range 1-75). Hematuria and oliguria occurred before 24 hours; there was an increase of CPK in 90%, of ALT in 96%, of AST in 89%, of DHL in 95%, and of BUN and creatinine in 100%. Based on our findings and on the review of the available information, we propose that this type of ARF occurs as a result of rhabdomyolysis with subsequent myoglobinuria, which lead to nephrotoxic acute tubular necrosis; a variable degree of direct nephrotoxicity, not quantifiable with current diagnostic methods, is also probably involved. A better knowledge of this entity by the medical community could improve care and prognosis of the patients who develop it.
ACCESSION #
54311537

 

Related Articles

  • Sulpiride overdose.  // Reactions Weekly;5/19/2007, Issue 1152, p24 

    The article discusses the case of a man with schizophrenia who developed rhabdomyolysis and acute renal failure after ingesting an overdose of sulpiride. The patient experienced weakness in his limbs and was unable to stand after taking an overdose of the drug. As treatments, he underwent urine...

  • Abstracts.  // Kidney International;Apr1977, Vol. 11 Issue 4, p284 

    Discusses abstracts of papers presented before the South African Renal Society in Bloemfontein in October 1976. "Composition of hemodialysate," by N.D. Burman; "Acute renal failure during magnesium-potassium depletion cancer therapy," by N.D. Burman; "Maintenance dialysis and renal...

  • Abstracts.  // Kidney International;Jun1976, Vol. 9 Issue 6, p520 

    Presents abstracts of articles published in the 1976 issue of "Kidney International." "Increased Calcitonin Plasma Concentrations in Chronic and Early Acute Renal Failure," by R. Ardaillou, R. Isaac and M. Beaufils; "Serial Histomorphometric and Histochemical Bone Biopsy Studies in Dialysis and...

  • Acute renal failure due to rhabdomyolysis in a child with McArdle disease. Delibaş, Ali; Bek, Kenan; Ezgü, Fatih Süheyl; Demircin, Gülay; Oksal, Ayşegül; Öner, Ayşe; Delibaş, Ali; Ezgü, Fatih Süheyl; Demircin, Gülay; Oksal, Ayşegül; Oner, Ayşe // European Journal of Pediatrics;Aug2008, Vol. 167 Issue 8, p939 

    Rhabdomyolysis induced acute renal failure (ARF) is relatively rare in children. We report an 8-year-old boy with McArdle disease and rhabdomyolysis induced ARF after heavy muscle work. Physical examination revealed generalized tenderness on his extremities. Laboratory examinations showed acute...

  • A case of cocaine confusion. Slick, Gary L. // Cortlandt Forum;4/25/95, Vol. 8 Issue 4, p114 

    Presents a case study on a patient with cocaine-induced rhabdomyolysis and myoglobinuric renal failure. Lack of improvement in the patient's acute renal failure in the face of a brisk diuresis; Gram-positive bacteremia; Persistent leukocytosis of the patient while on multiple antibiotics;...

  • Acute Renal Failure secondary to massive Honey bee stings. Pol, Ramesh R.; Vanaki, Raghavendra N.; Yelamali, Bhuvaneshvari; Hongal, Gopal // Medica Innovatica;Jul2015, Vol. 4 Issue 1, p83 

    Honey bee sting can produce mild to severe allergic reactions as well as deaths. Multiple stinging events can prove life threatening via the toxic action of the venom injected in large amounts. Bee venom is a complex substance consisting of proteins which can affect various tissues and can cause...

  • Acute renal failure; hyperuricaemia, and myoglobinuria.  // British Medical Journal;5/12/1979, Vol. 1 Issue 6173, p1233 

    Examines the treatment of acute renal failure, hyperuricemia and myoglobinuria. Correlation between leukemia and lymphomas; Impact of chemotherapy on massive cell destruction; Role of hyperuricemia in acute renal failure.

  • Rhabdomyolysis and acute renal failure following arthroscopic knee surgery in a college football player taking creatine supplements. Sheth, N. P.; Sennett, B.; Berns, J. S. // Clinical Nephrology;2006, Vol. 65 Issue 2, p134 

    We describe a college football player and weight-lifter who unexpectedly developed rhabdomyolysis and nonoliguric acute renal failure (ARF) following arthroscopic knee surgery. There was swelling and pain without evidence of a compartment syndrome postoperatively. The patient reported that he...

  • Acute renal failure after overdose of colloidal bismuth subcitrate. Cengiz, Nurcan; Uslu, Yasemin; Gök, Faysal; Anarat, Ali // Pediatric Nephrology;Sep2005, Vol. 20 Issue 9, p1355 

    Bismuth salts are widely used to treat peptic ulcers. Acute toxicity with colloidal bismuth subcitrate overdose causes nephrotoxicity. There have been numerous reports of encephalopathy after long-term consumption of bismuth salts, but only a few cases of nephrotoxicity (adult and pediatric)...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics