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多次蜂蜇伤与急性肾损伤:一例报告

Multiple Bee Stings and Acute Kidney Injury: A Case Report.

作者信息

V Veena, Mehta Hemant, Dhingra Preeti, Ballani Anil

机构信息

Department of Medicine, Lilavati Hospital and Research Centre, Mumbai, IND.

Department of Nephrology, Lilavati Hospital and Research Centre, Mumbai, IND.

出版信息

Cureus. 2024 Aug 9;16(8):e66488. doi: 10.7759/cureus.66488. eCollection 2024 Aug.

Abstract

Acute kidney injury (AKI) is a common complication following multiple honey bee stings and usually presents after 24-48 hours following the incidence. The severity of AKI is related to the number of stings. A single sting can cause an allergic reaction, and as the stings increase, a higher amount of venom is inoculated, leading to systemic poisoning. Bee venom can have direct or indirect effects on the kidneys. AKI is a combination of toxic and ischemic acute tubular necrosis. Patients may require dialysis, and the usual renal recovery time is 4-120 days. The patient with multiple honey bee stings needs emergency medical treatment, sometimes in the ICU setting, with the aim of treating or preventing anaphylaxis reactions. A case of AKI due to multiple honey bee stings is presented, which is rare but a known occurrence. The patient survived with a recovery of renal function.

摘要

急性肾损伤(AKI)是多次被蜜蜂蜇伤后的常见并发症,通常在事件发生后24至48小时出现。AKI的严重程度与蜇伤次数有关。单次蜇伤可引起过敏反应,随着蜇伤次数增加,注入的毒液量增多,导致全身中毒。蜂毒可对肾脏产生直接或间接影响。AKI是中毒性和缺血性急性肾小管坏死的组合。患者可能需要透析,通常肾脏恢复时间为4至120天。多次被蜜蜂蜇伤的患者需要紧急医疗救治,有时需在重症监护病房进行,目的是治疗或预防过敏反应。本文介绍了一例因多次被蜜蜂蜇伤导致AKI的病例,该病例虽罕见但确有发生。患者肾功能恢复,得以存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b83/11381098/761c0711a6d4/cureus-0016-00000066488-i01.jpg

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