Africanized honeybee stings: how to treat them
INTRODUCTION: In 1956, Africanized honeybees (AHB) migrated from Brazil to other regions of the Western Hemisphere, including South, Central, and North America, except for Canada. Despite being productive, they are highly aggressive and cause fatal accidents. This study aimed to evaluate patients at...
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Sociedade Brasileira de Medicina Tropical (SBMT)
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ftdoajarticles:oai:doaj.org/article:d0e7021aef5e488f8153139802b28a4b 2023-05-15T15:13:51+02:00 Africanized honeybee stings: how to treat them Ricardo Augusto Monteiro de Barros Almeida Taylor Endrigo Toscano Olivo Rinaldo Poncio Mendes Silvia Regina Catharino Sartori Barraviera Lenice do Rosário Souza Joelma Gonçalves Martins Miriam Hashimoto Viciany Erique Fabris Rui Seabra Ferreira Junior Benedito Barraviera 2011-12-01T00:00:00Z https://doi.org/10.1590/S0037-86822011000600020 https://doaj.org/article/d0e7021aef5e488f8153139802b28a4b EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000600020&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86822011000600020 https://doaj.org/article/d0e7021aef5e488f8153139802b28a4b Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 6, Pp 755-761 (2011) Picadas de abelhas africanizadas Roteiro de tratamento Apis mellifera Arctic medicine. Tropical medicine RC955-962 article 2011 ftdoajarticles https://doi.org/10.1590/S0037-86822011000600020 2022-12-30T23:25:43Z INTRODUCTION: In 1956, Africanized honeybees (AHB) migrated from Brazil to other regions of the Western Hemisphere, including South, Central, and North America, except for Canada. Despite being productive, they are highly aggressive and cause fatal accidents. This study aimed to evaluate patients at the Clinical Hospital of Botucatu Medical School (HC-FMB) and to propose treatment guidelines. METHODS: From 2005 to 2006, the clinical and laboratorial aspects of 11 patients (7 male and 4 female) and the anatomopathological aspects of one patient who had died in 2003 were analyzed. RESULTS: The age of the surviving patients varied from 5 to 87 years, with a mean of 42.5 years. The majority of accidents occurred in the afternoon, and the number of stings ranged from 20 to 500. The principal signs and symptoms were pain and local inflammatory signs, nausea, tachycardia, and vomiting. Biochemical findings presented increased levels of creatine phosphokinase, lactate dehydrogenase, and aspartate/alanine aminotransferase. An 11-year-old male patient died upon entering the attic of a two-storey building where he was attacked by a swarm, receiving more than 1,000 stings. He was sent to HC-FMB where he was treated, but he died 24h later. Observed at the autopsy were erythematous-purpuric skin lesions besides necrosis at the sting locations, rhabdomyolysis, focal myocardial necrosis, tubular hydropic degeneration and focal tubular acute necrosis of the kidneys, myoglobinuria, and centrolobular necrosis in the liver. CONCLUSIONS: Accidents caused by multiple AHB stings always constitute a medical emergency. As there is no specific antivenom, we have developed guidelines, including first aid, drugs, and the proper removal of stingers. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Canada Revista da Sociedade Brasileira de Medicina Tropical 44 6 755 761 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
Picadas de abelhas africanizadas Roteiro de tratamento Apis mellifera Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Picadas de abelhas africanizadas Roteiro de tratamento Apis mellifera Arctic medicine. Tropical medicine RC955-962 Ricardo Augusto Monteiro de Barros Almeida Taylor Endrigo Toscano Olivo Rinaldo Poncio Mendes Silvia Regina Catharino Sartori Barraviera Lenice do Rosário Souza Joelma Gonçalves Martins Miriam Hashimoto Viciany Erique Fabris Rui Seabra Ferreira Junior Benedito Barraviera Africanized honeybee stings: how to treat them |
topic_facet |
Picadas de abelhas africanizadas Roteiro de tratamento Apis mellifera Arctic medicine. Tropical medicine RC955-962 |
description |
INTRODUCTION: In 1956, Africanized honeybees (AHB) migrated from Brazil to other regions of the Western Hemisphere, including South, Central, and North America, except for Canada. Despite being productive, they are highly aggressive and cause fatal accidents. This study aimed to evaluate patients at the Clinical Hospital of Botucatu Medical School (HC-FMB) and to propose treatment guidelines. METHODS: From 2005 to 2006, the clinical and laboratorial aspects of 11 patients (7 male and 4 female) and the anatomopathological aspects of one patient who had died in 2003 were analyzed. RESULTS: The age of the surviving patients varied from 5 to 87 years, with a mean of 42.5 years. The majority of accidents occurred in the afternoon, and the number of stings ranged from 20 to 500. The principal signs and symptoms were pain and local inflammatory signs, nausea, tachycardia, and vomiting. Biochemical findings presented increased levels of creatine phosphokinase, lactate dehydrogenase, and aspartate/alanine aminotransferase. An 11-year-old male patient died upon entering the attic of a two-storey building where he was attacked by a swarm, receiving more than 1,000 stings. He was sent to HC-FMB where he was treated, but he died 24h later. Observed at the autopsy were erythematous-purpuric skin lesions besides necrosis at the sting locations, rhabdomyolysis, focal myocardial necrosis, tubular hydropic degeneration and focal tubular acute necrosis of the kidneys, myoglobinuria, and centrolobular necrosis in the liver. CONCLUSIONS: Accidents caused by multiple AHB stings always constitute a medical emergency. As there is no specific antivenom, we have developed guidelines, including first aid, drugs, and the proper removal of stingers. |
format |
Article in Journal/Newspaper |
author |
Ricardo Augusto Monteiro de Barros Almeida Taylor Endrigo Toscano Olivo Rinaldo Poncio Mendes Silvia Regina Catharino Sartori Barraviera Lenice do Rosário Souza Joelma Gonçalves Martins Miriam Hashimoto Viciany Erique Fabris Rui Seabra Ferreira Junior Benedito Barraviera |
author_facet |
Ricardo Augusto Monteiro de Barros Almeida Taylor Endrigo Toscano Olivo Rinaldo Poncio Mendes Silvia Regina Catharino Sartori Barraviera Lenice do Rosário Souza Joelma Gonçalves Martins Miriam Hashimoto Viciany Erique Fabris Rui Seabra Ferreira Junior Benedito Barraviera |
author_sort |
Ricardo Augusto Monteiro de Barros Almeida |
title |
Africanized honeybee stings: how to treat them |
title_short |
Africanized honeybee stings: how to treat them |
title_full |
Africanized honeybee stings: how to treat them |
title_fullStr |
Africanized honeybee stings: how to treat them |
title_full_unstemmed |
Africanized honeybee stings: how to treat them |
title_sort |
africanized honeybee stings: how to treat them |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2011 |
url |
https://doi.org/10.1590/S0037-86822011000600020 https://doaj.org/article/d0e7021aef5e488f8153139802b28a4b |
geographic |
Arctic Canada |
geographic_facet |
Arctic Canada |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 6, Pp 755-761 (2011) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000600020&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86822011000600020 https://doaj.org/article/d0e7021aef5e488f8153139802b28a4b |
op_doi |
https://doi.org/10.1590/S0037-86822011000600020 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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44 |
container_issue |
6 |
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755 |
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