Acute kidney injury in a Tanzanian boy following multiple bee stings in resource-limited setting: a case report

Ryakitimbo, Amon; Kennedy, Misso; Shao, Elichilia R; Itana, Maria E; Mbwasi, Ronald; Kinabo, Grace D.; Yeates, Karen; Kilonzo, Kajiru

doi:10.1093/omcr/omy070

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…Several cases of AKI following bee stings have been reported. [ 3 4 ] Acute kidney injury (AKI) from bee stings is due to multiple factors, such as intravascular hemolysis, rhabdomyolysis, hypotension, and direct toxicity of the venom components (melittin and apamin) to the renal tubules.…”

Section: Discussionmentioning

confidence: 99%

“…Localized reactions include erythema, oedema, and pain whereas allergic reactions triggered by IgE, may cause urticaria, angioedema, bronchoconstriction, and anaphylactic shock. Systemic toxic reactions may cause acute kidney injury (AKI),[ 3 4 ] acute myocardial infarction (Kounis syndrome),[ 5 ] stroke,[ 6 ] peripheral neuropathy, glomerulonephritis, and even death. Mortality rates in various studies are as high as 15–25 percent.…”

Section: Introductionmentioning

confidence: 99%

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Multi-organ dysfunction following honeybee bite—A rare entity

Prasad

Mehta

Satyanarayan

et al. 2020

J Family Med Prim Care

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Honeybee bites have been known to cause localized allergic reactions and anaphylaxis but systemic toxic reactions leading to multiorgan dysfunction is very rare. Serious complications like acute renal failure, acute myocardial infarction (Kounis syndrome) and even death have been reported as the complication of honeybee bite. Herein, we report a case of multiorgan dysfunction following honeybee bite, which was complicated with acute kidney injury, thrombocytopenia, bradycardia, keratitis, and deranged liver function along with localized allergic reaction and pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multi-organ dysfunction following honeybee bite—A rare entity

Prasad

Mehta

Satyanarayan

et al. 2020

J Family Med Prim Care

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“…Although not available in all low-resource settings, serum creatinine laboratory values are the most commonly used tools to identify AKI. 1,35,[38][39][40][41][42][43][44][45][46][47][48][49][50] A 2015 multinational cross-sectional study showed that the diagnosis of AKI was made with serum creatinine values alone in 63% of participating facilities, followed by serum creatinine along with urine output in 28% of participating facilities in LMICs. 1 A 2018 qualitative study surveying AKI identification and management practices among 160 intensivists based in provincial and regional hospitals in Thailand showed that the KDIGO criteria for AKI were most commonly used (37%), followed by the AKIN (27.7%) and RIFLE (26.1%) criteria, respectively.…”

Section: Questionsmentioning

confidence: 99%

Pragmatic Recommendations for the Prevention and Treatment of Acute Kidney Injury in Patients with COVID-19 in Low- and Middle-Income Countries

Rudd

Çizmeci

Galli

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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. Current recommendations for the management of patients with COVID-19 and acute kidney injury (AKI) are largely based on evidence from resource-rich settings, mostly located in high-income countries. It is often unpractical to apply these recommendations to resource-restricted settings. We report on a set of pragmatic recommendations for the prevention, diagnosis, and management of patients with COVID-19 and AKI in low- and middle-income countries (LMICs). For the prevention of AKI among patients with COVID-19 in LMICs, we recommend using isotonic crystalloid solutions for expansion of intravascular volume, avoiding nephrotoxic medications, and using a conservative fluid management strategy in patients with respiratory failure. For the diagnosis of AKI, we suggest that any patient with COVID-19 presenting with an elevated serum creatinine level without available historical values be considered as having AKI. If serum creatinine testing is not available, we suggest that patients with proteinuria should be considered to have possible AKI. We suggest expansion of the use of point-of-care serum creatinine and salivary urea nitrogen testing in community health settings, as funding and availability allow. For the management of patients with AKI and COVID-19 in LMICS, we recommend judicious use of intravenous fluid resuscitation. For patients requiring dialysis who do not have acute respiratory distress syndrome (ARDS), we suggest using peritoneal dialysis (PD) as first choice, where available and feasible. For patients requiring dialysis who do have ARDS, we suggest using hemodialysis, where available and feasible, to optimize fluid removal. We suggest using locally produced PD solutions when commercially produced solutions are unavailable or unaffordable.

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“… 5 Localized reactions typically include redness, swelling, and pain, while allergic reactions triggered by IgE can lead to utricaria, angioedema, breathing difficulties, acute kidney injury (AKI), and potentially life-threatening anaphylactic shock. 5 …”

Section: Introductionmentioning

confidence: 99%

Multi-Organ Dysfunction Due to Envenoming Syndrome Following a Massive Bee Attack: A Fatal Case Study and Comprehensive Literature Review

Mumin Ali Osman,

Turfan,

Farah Yusuf Mohamud

2024

IMCRJ

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Honeybee bites are a common public health hazard, the incidence of which is gradually increasing. A bee sting incident involving more than fifty stings is categorized as massive envenomation. The clinical manifestations of honey bee stings can range from localized symptoms to severe allergic and systemic reactions.This case study presents a 60-year-old male who experienced multi-organ failure following a severe bee sting incident. According to our research, this is the first documented instance in Somalia of multi-organ failure resulting from a sting by a giant honey bee. The case highlights the potential severity of bee stings, which, while often considered minor, can lead to serious medical complications. Interestingly, despite the patient suffering numerous stings and receiving a substantial amount of venom, an immediate anaphylactic reaction did not occur. Instead, a delayed severe response leading to multi-organ failure emerged within 48 hours of the incident.

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Acute kidney injury in a Tanzanian boy following multiple bee stings in resource-limited setting: a case report

Cited by 9 publications

References 11 publications

Multi-organ dysfunction following honeybee bite—A rare entity

Multi-organ dysfunction following honeybee bite—A rare entity

Pragmatic Recommendations for the Prevention and Treatment of Acute Kidney Injury in Patients with COVID-19 in Low- and Middle-Income Countries

Multi-Organ Dysfunction Due to Envenoming Syndrome Following a Massive Bee Attack: A Fatal Case Study and Comprehensive Literature Review

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