Acute kidney injury after massive attack of Africanised bees

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorBridi, Ramaiane Aparecida
dc.creatorBalbi, André Luís
dc.creatorNeves, Precil Diego Miranda de Menezes
dc.creatorPonce, Daniela
dc.date2015-12-07T15:31:11Z
dc.date2016-10-25T21:22:37Z
dc.date2015-12-07T15:31:11Z
dc.date2016-10-25T21:22:37Z
dc.date2014-03-11
dc.date.accessioned2017-04-06T09:27:02Z
dc.date.available2017-04-06T09:27:02Z
dc.identifierBMJ Case Reports, v. 2014, 2014.
dc.identifier1757-790X
dc.identifierhttp://hdl.handle.net/11449/131052
dc.identifierhttp://acervodigital.unesp.br/handle/11449/131052
dc.identifier10.1136/bcr-2013-201381
dc.identifier24618864
dc.identifierhttp://dx.doi.org/10.1136/bcr-2013-201381
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/941592
dc.descriptionAcute kidney injury (AKI) is a well-documented complication of massive attack by Africanised bees and can be observed 48-72 h after the accident. We report a case of Africanised bees attack followed by severe and lethal AKI. A 56-year-old man was admitted to emergency department after a massive attack of Africanised bees (>1000 bee stings). He was unconscious, presenting with hypotension and tachycardia. Mechanical ventilation, volume expansion and care for anaphylaxis were instituted. The patient was transferred to the intensive care unit (ICU) and after 48 h he developed rhabdomyolysis, oliguria, increased creatinine levels, hyperkalaemia and refractory acidosis. A diagnosis of AKI secondary to rhabdomyolysis and shock was made. The patient was treated with a prolonged course of haemodialysis. However, he progressed to refractory shock and died 5 days after admission.
dc.languageeng
dc.publisherBMJ Publishing Group LTD
dc.relationBMJ Case Reports
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.titleAcute kidney injury after massive attack of Africanised bees
dc.typeOtro


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