Bourgain C, Pauti M D, Fillastre J P, Godin M, François A, Leroy J P, Droy J M, Klotz F
Service de Néphrologie, CHU de Rouen.
Presse Med. 1998 Jun 20;27(22):1099-101.
Bee stings can cause severe toxic effects when envenomation is massive.
While touring in Casamance (Southern Senegal) a white male was severely stung by a swarm of African bees. The massive envenomation caused rhabdomyolysis, hemolysis and acute renal failure. Pathology examination of kidney and bladder specimens showed vasculitis affecting both arteries and veins. The patient was treated with several hemodialysis sessions and renal function returned to normal three months after the incident.
Bees in Africa, known as "killer bees", are particularly aggressive. They have recently been imported from tropical zones in America where a large number of deaths have been reported. Most cases of massive envenomation have shown acute tubular necrosis or renal involvement with myoglobinuria or hemoglobinuria. The renal pathology observed in our case is not usually described.
当大量注入蜂毒时，蜜蜂蜇伤可导致严重的毒性作用。
一名白人男性在卡萨芒斯（塞内加尔南部）旅行时被一群非洲蜜蜂严重蜇伤。大量的蜂毒注入导致横纹肌溶解、溶血和急性肾衰竭。肾脏和膀胱标本的病理检查显示血管炎累及动脉和静脉。患者接受了多次血液透析治疗，事件发生三个月后肾功能恢复正常。
非洲的蜜蜂，被称为“杀人蜂”，特别具有攻击性。它们最近从美洲热带地区引进，在那里已有大量死亡报告。大多数大量注入蜂毒的病例表现为急性肾小管坏死或伴有肌红蛋白尿或血红蛋白尿的肾脏受累。我们病例中观察到的肾脏病理情况通常未被描述。
