ABSTRACT
Introduction: Bee sting venom is generally well tolerated. However, some rare cases of massive stings can lead to anaphylactic shock and even renal failure. This observation is the illustration of a case of acute kidney injury secondary to bee stings in a 64-year-old black african subject. Case presentation: A 64-year-old man without a known medical history was referred to the emergency department of the Fousseyni Daou hospital in Kayes (Mali) for disturbed consciousness 4 hours after massive stings from a bee swarm. Renal failure with serum creatinine level at 752,2 µmol/L was documented on day 3 in a context of total anuria. The patient was transferred to a nephrology unit and biology confirmed renal failure associated with intravascular haemolysis and rhabdomyolysis. The kidneys were of normal size and well differentiated. The diagnosis of severe acute kidney injury due to massive envenomation induced by bee venom was evoked. The evolution was favourable, with normalization of renal function at D26 after 5 sessions of haemodialysis in parallel with transfusions of packed red blood cells. Conclusion: A massive bee attack should be considered a medical emergency because of the organic damage it can inflict. The renal prognosis depends on the number of stings, and especially on the delay and the quality of the treatment. Early initiation of dialysis treatment reduces mortality.
Introduction: Le venin des piqûres d'abeilles est en général bien toléré. Cependant, quelques rares cas de piqûres massives peuvent entraîner un choc anaphylactique, voire une insuffisance rénale. Cette observation est l'illustration d'un cas d'insuffisance rénale aiguë par envenimation aux piqûres d'abeilles chez un sujet noir africain de 64 ans. Présentation du cas: Un homme de 64 ans sans antécédent médical connu, est adressé aux urgences de l'hôpital Fousseyni Daou de Kayes (Mali) pour trouble de la conscience 4 heures après des piqûres massives par un essaim d'abeilles. Une insuffisance rénale à 752,2 µmol/L de créatinine est découverte à J3 dans un contexte d'anurie totale. Le patient est transféré en unité de néphrologie où la biologie confirme l'insuffisance rénale associée à une hémolyse intravasculaire et une rhabdomyolyse. Les reins étaient de taille normale et bien différenciés à l'échographie. Le diagnostic d'une insuffisance rénale aiguë sévère par envenimation massive induite par le venin d'abeille a été évoqué. L'évolution était favorable, marquée par une normalisation de la fonction rénale à J26 après cinq séances d'hémodialyse en parallèle à des transfusions de culot globulaire. Conclusion: L'attaque massive d'abeilles doit être considérée comme une urgence médicale en raison des atteintes organiques qu'elle peut entraîner. Le pronostic rénal dépend du nombre de piqûres, et surtout du délai et de la qualité de prise en charge. L'instauration rapide de l'épuration extrarénale permet de réduire la mortalité.
Subject(s)
Acute Kidney Injury , Bee Venoms , Insect Bites and Stings , Humans , Animals , Insect Bites and Stings/complications , Acute Kidney Injury/etiology , Acute Kidney Injury/therapy , Kidney , Renal Dialysis/adverse effectsABSTRACT
In 2017, the national agency for health security (L'Agence Nationale de Sécurité Sanitaire-ANSS) in Guinea implemented the District Health Information Software (DHIS2) as the Ministry of Health national surveillance system to capture and report aggregate disease data. During 2019, the ANSS started using DHIS2 Tracker to collect case-based (individual-level) data for epidemic-prone diseases. In 2020, the capability was expanded, and it was used during the COVID-19 pandemic to capture data relevant to the COVID-19 response. When an Ebola virus disease (EVD) outbreak was announced in February 2021, the Tracker module was updated, and enhanced functionalities were developed to meet the needs for the emerging epidemic. This novel EVD module has components to capture information on cases, contacts, alerts, laboratory and vaccinations and provides a centralised site for all EVD outbreak data. It has since been expanded for use with future viral haemorrhagic fever outbreaks.
Subject(s)
COVID-19 , Hemorrhagic Fever, Ebola , Disease Outbreaks/prevention & control , Guinea/epidemiology , Hemorrhagic Fever, Ebola/epidemiology , Hemorrhagic Fever, Ebola/prevention & control , Humans , Pandemics , SoftwareABSTRACT
Background: To end the COVID-19 pandemic, a large part of the world must be immune to the virus by vaccination. Therefore, this study aimed to gauge intent to be vaccinated against COVID-19 among ordinary people and to identify attitudes towards vaccines and barriers for vaccine acceptance. Methods: The study population comprises 1880 people residing in different countries that answer a prepared questionnaire. The questionnaire topics are demographics, historical issues, participants' attitudes and beliefs regarding vaccines, concerns, and vaccine hesitancy. Results: Attitudes and beliefs relating to vaccines in general, and the COVID-19 vaccine, were ascertained. Overall, 66.81% of the contributors would like to be vaccinated against COVID-19, while %33.19 did not intend to be vaccinated. Reasons for COVID-19 vaccine hesitancy included concern regarding vaccine side effects, fear of getting sick from the uptake of the vaccine, and the absence of accurate vaccine promotion news. Individuals with higher education believe that India (68.6%) produces the best vaccine (P <0.001), while healthcare workers think the Chinese vaccine (44.2%) is the best (P =0.020). Individuals with higher education have not been vaccinated, not be healthcare workers, and females were the most contributors to effective of the vaccine in reducing mortality from COVID-19 disease. Conclusion: Given the degree of hesitancy against COVID-19 vaccination, a multifaceted approach to facilitate vaccine uptake that includes vaccine education, behavioral change strategies, and health promotion, is paramount.
ABSTRACT
Genital schistosomiasis is mainly located in the neck of the uterus and the vagina, less frequently on the vulva, the fallopian tubes and ovaries and rarely in the body of the uterus. We here report the case of a 10-year-old girl admitted with a swelling on the vulva in whom histological examination showed cutaneous schistosomiasis due to Schistosoma haematobium. Outcome was favorable with a single 40 mg/kg mg dose of praziquantel, with tumor regression.
