Bee sting envenomation severe cases in Manaus, Brazilian Amazon: clinical characteristics and immune markers of case reports
Rev. Soc. Bras. Med. Trop
; Rev. Soc. Bras. Med. Trop;54: e20200319, 2021. graf
Article
de En
| SES-SP, ColecionaSUS, LILACS
| ID: biblio-1143888
Bibliothèque responsable:
BR1.1
ABSTRACT
Abstract Bee venom is a natural toxin composed of several peptides. Massive envenoming causes severe local and systemic reactions. We report two cases of severe bee envenomation, of which one was fatal. We also describe clinical characteristics and immune markers. Both victims suffered from respiratory distress, renal failure, rhabdomyolysis, and shock. They required invasive mechanical ventilation, vasoactive drugs, and renal replacement therapy. Moreover, serum levels of chemokines, cytokines, and cell-free circulating nucleic acids demonstrated an intense inflammatory process. Massive envenoming produced systemic injury in the victims, with an uncontrolled inflammatory response, and a more significant chemotactic response in the fatal case.
Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Rhabdomyolyse
/
Venins d'abeille
/
Morsures et piqûres d'insectes
Limites du sujet:
Animals
Pays comme sujet:
America do sul
/
Brasil
langue:
En
Texte intégral:
Rev. Soc. Bras. Med. Trop
Thème du journal:
MEDICINA TROPICAL
Année:
2021
Type:
Article