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Bee venom: An unusual cause of acute kidney injury

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2023. Sujet(s) : Ressources en ligne : Abrégé : Introduction. Bee sting venom is generally well tolerated. However, some rare cases of severe stings can lead to anaphylactic shock and even kidney failure. This observation is the illustration of a case of acute kidney injury secondary to bee stings in a 64-year-old Black African subject. Case presentation. A 64-year-old man without a known medical history was referred to the emergency department at Fousseyni Daou Hospital in Kayes (Mali) for disturbed consciousness four hours after receiving massive stings from a swarm of bees. Kidney failure with a serum creatinine level at 752.2 µmol/L was documented on day three in a context of total anuria. The patient was transferred to a nephrology unit and pathology confirmed kidney failure accompanied by haemolysis and rhabdomyolysis. The kidneys were of normal size and well differentiated. A diagnosis of severe acute kidney injury due to massive envenomation induced by bee venom was put forward. The evolution was favourable, with normalization of kidney function at D26 after five sessions of haemodialysis alongside transfusions of packed red blood cells. Conclusion. A severe bee sting attack should be considered a medical emergency because of the organ damage it can cause. The renal prognosis depends on the number of stings, and especially on the quality of treatment and how quickly it is started. Starting dialysis treatment as early as possible reduces mortality.
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Introduction. Bee sting venom is generally well tolerated. However, some rare cases of severe stings can lead to anaphylactic shock and even kidney failure. This observation is the illustration of a case of acute kidney injury secondary to bee stings in a 64-year-old Black African subject. Case presentation. A 64-year-old man without a known medical history was referred to the emergency department at Fousseyni Daou Hospital in Kayes (Mali) for disturbed consciousness four hours after receiving massive stings from a swarm of bees. Kidney failure with a serum creatinine level at 752.2 µmol/L was documented on day three in a context of total anuria. The patient was transferred to a nephrology unit and pathology confirmed kidney failure accompanied by haemolysis and rhabdomyolysis. The kidneys were of normal size and well differentiated. A diagnosis of severe acute kidney injury due to massive envenomation induced by bee venom was put forward. The evolution was favourable, with normalization of kidney function at D26 after five sessions of haemodialysis alongside transfusions of packed red blood cells. Conclusion. A severe bee sting attack should be considered a medical emergency because of the organ damage it can cause. The renal prognosis depends on the number of stings, and especially on the quality of treatment and how quickly it is started. Starting dialysis treatment as early as possible reduces mortality.

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