V Veena, Mehta Hemant, Dhingra Preeti, Ballani Anil
Department of Medicine, Lilavati Hospital and Research Centre, Mumbai, IND.
Department of Nephrology, Lilavati Hospital and Research Centre, Mumbai, IND.
Cureus. 2024 Aug 9;16(8):e66488. doi: 10.7759/cureus.66488. eCollection 2024 Aug.
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.
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。