Bee sting envenomation severe cases in Manaus, Brazilian Amazon: clinical characteristics and immune markers of case reports.
Rev Soc Bras Med Trop
; 54: e20200319, 2020.
Article
em En
| MEDLINE
| ID: mdl-33338119
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Rabdomiólise
/
Venenos de Abelha
/
Mordeduras e Picadas de Insetos
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Animals
País como assunto:
America do sul
/
Brasil
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article