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多处蜜蜂蜇伤,多器官受累:一例报告

Multiple bee stings, multiple organs involved: a case report.

作者信息

Toledo Luana Ferreira Martins de, Moore Daniella Campelo Batalha Cox, Caixeta Daniella Mancino da Luz, Salú Margarida Dos Santos, Farias Carla Verona Barreto, Azevedo Zina Maria Almeida de

机构信息

Unidade de Terapia Intensiva, Departamento de Pediatria, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.

Departamento de Medicina Clínica, Universidade Federal Fluminense, Niterói, RJ, Brasil.

出版信息

Rev Soc Bras Med Trop. 2018 Jul-Aug;51(4):560-562. doi: 10.1590/0037-8682-0341-2017.

Abstract

Accidents related to Africanized honey bees are growing globally and are associated with multiple stings owing to the aggressive behavior of this species. The massive inoculation of venom causes skin necrosis and rhabdomyolysis leading to renal failure. Anaphylactic manifestations are more common and are treated using well-defined treatment protocols. However, bee venom-induced toxic reactions may be serious and require a different approach. We report the case of a 3-year-old child, which would help clinicians to focus on the treatment approach required after an incident involving multiple bee stings.

摘要

与非洲化蜜蜂相关的事故在全球范围内不断增加,且由于该物种的攻击性行为,常与多次蜇伤有关。大量毒液注入会导致皮肤坏死和横纹肌溶解,进而引发肾衰竭。过敏反应更为常见,可采用明确的治疗方案进行治疗。然而,蜂毒引起的毒性反应可能很严重,需要不同的治疗方法。我们报告了一名3岁儿童的病例,这将有助于临床医生关注多次蜜蜂蜇伤事件后的治疗方法。

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