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dc.contributor.authorBridi, Ramaiane Aparecida [UNESP]
dc.contributor.authorBalbi, André Luís [UNESP]
dc.contributor.authorNeves, Precil Diego Miranda de Menezes [UNESP]
dc.contributor.authorPonce, Daniela [UNESP]
dc.identifier.citationBMJ Case Reports, v. 2014, 2014.
dc.description.abstractAcute kidney injury (AKI) is a well-documented complication of massive attack by Africanised bees and can be observed 48-72 h after the accident. We report a case of Africanised bees attack followed by severe and lethal AKI. A 56-year-old man was admitted to emergency department after a massive attack of Africanised bees (>1000 bee stings). He was unconscious, presenting with hypotension and tachycardia. Mechanical ventilation, volume expansion and care for anaphylaxis were instituted. The patient was transferred to the intensive care unit (ICU) and after 48 h he developed rhabdomyolysis, oliguria, increased creatinine levels, hyperkalaemia and refractory acidosis. A diagnosis of AKI secondary to rhabdomyolysis and shock was made. The patient was treated with a prolonged course of haemodialysis. However, he progressed to refractory shock and died 5 days after admission.en
dc.publisherBMJ Publishing Group LTD
dc.relation.ispartofBMJ Case Reports
dc.titleAcute kidney injury after massive attack of Africanised beesen
dcterms.rightsHolderBMJ Publishing Group LTD
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.description.affiliationDepartamento de Medicina Interna, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista (UNESP), Botucatu, SP, Brasil
dc.description.affiliationUnespDepartamento de Medicina Interna, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista (UNESP), Botucatu, SP, Brasil
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unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
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