病例报告：两岁儿童被杀人蜂大量蜇伤导致急性肾衰竭。
Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings.
机构信息
1Service de Médecine et Chirurgie Pédiatrique, Cayenne Hospital, Cayenne, French Guiana.
2Service des urgences, Cayenne Hospital, Cayenne, French Guiana.
出版信息
Am J Trop Med Hyg. 2021 May 10;105(1):222-224. doi: 10.4269/ajtmh.20-1276.
A hybrid species of Brazilian bee has proliferated on the South American continent since 1956. We describe a "killer bee" swarm attack on a 2-year-old girl in French Guiana. The patient weighed 10 kg, and approximately hundreds of bees' stingers were removed, that is, 10 stings/kg. Our patient survived without long-term sequelae. The management of her condition required admission into intensive care for renal failure due to acute tubular necrosis and severe rhabdomyolysis. We emphasize the importance of early medical intervention, clinical surveillance, and biological monitoring at the hospital to prevent a toxic chain reaction that could prove fatal within 72 hours.
自 1956 年以来，一种巴西蜜蜂的杂交种在南美大陆上大量繁殖。我们描述了在法属圭亚那发生的一起“杀人蜂”群袭击一名 2 岁女孩的事件。患者体重 10 公斤，大约拔出了数百根蜜蜂蛰刺，即每公斤 10 根蛰刺。我们的患者没有留下长期后遗症而存活下来。由于急性肾小管坏死和严重横纹肌溶解，她的病情需要入住重症监护病房进行治疗。我们强调早期医疗干预、临床监测和在医院进行生物监测的重要性，以防止在 72 小时内可能致命的毒性连锁反应。
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