1. Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings
- Author
-
Christian Marty, Narcisse Elenga, Swann Geoffroy, Yann Lambert, and Alexis Fremery
- Subjects
Pediatrics ,medicine.medical_specialty ,Chlorpheniramine ,Prednisolone ,Acute kidney failure ,Hybrid species ,Furosemide ,Virology ,Intensive care ,medicine ,Animals ,Humans ,Envenomation ,Glucocorticoids ,Acute tubular necrosis ,Acetaminophen ,business.industry ,Insect Bites and Stings ,Articles ,Acute Kidney Injury ,Analgesics, Non-Narcotic ,Bees ,medicine.disease ,Bee stings ,French Guiana ,Bee Venoms ,Infectious Diseases ,South american ,Child, Preschool ,Histamine H1 Antagonists ,Parasitology ,Female ,business ,Rhabdomyolysis - Abstract
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.
- Published
- 2021