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[Acute renal failure following bee stings: case reports]
Elizabeth De Francesco Daher1, Rodrigo Alves de Oliveira, Leila Silveira Vieira da Silva
1Departamento de Medicina Clínica, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE.
Revista Da Sociedade Brasileira De Medicina Tropical
|May 19, 2009
Summary
Africanized bee stings can cause rhabdomyolysis, a serious muscle injury. This syndrome can lead to acute kidney failure requiring dialysis, even without physical trauma.
Area of Science:
- Toxicology
- Nephrology
- Emergency Medicine
Background:
- Rhabdomyolysis is a clinical syndrome resulting from muscle breakdown.
- While commonly associated with trauma, non-traumatic etiologies exist.
- Africanized bees are known for their aggressive nature and potent venom.
Observation:
- This report details two cases of rhabdomyolysis.
- Both cases presented with acute renal failure necessitating dialysis.
- The precipitating event in both cases was multiple Africanized bee stings.
Findings:
- Severe envenomation by Africanized bees can trigger rhabdomyolysis.
- Rhabdomyolysis secondary to bee stings can lead to acute kidney injury.
- Dialytic management was required for renal failure in these patients.
Implications:
- Highlights a rare but serious complication of Africanized bee stings.
- Underscores the importance of considering envenomation in non-traumatic rhabdomyolysis.
- Informs emergency medical protocols for managing severe bee sting incidents.
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