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Case Report: Acute Kidney Failure due to Massive Envenomation of a Two-Year-Old Child Caused by Killer Bee Stings
Author(s) -
Swann Geoffroy,
Alexis Frémery,
Yann Lambert,
Christian Marty,
Narcisse Elenga
Publication year - 2021
Publication title -
american journal of tropical medicine and hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.015
H-Index - 151
eISSN - 1476-1645
pISSN - 0002-9637
DOI - 10.4269/ajtmh.20-1276
Subject(s) - rhabdomyolysis , envenomation , medicine , intensive care , sting , acute kidney injury , intervention (counseling) , intensive care medicine , medical emergency , surgery , biology , venom , ecology , psychiatry , aerospace engineering , engineering
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.

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