Abstract：
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-story 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.
journal_name
Rev Soc Bras Med Tropjournal_title
Revista da Sociedade Brasileira de Medicina Tropicalauthors
Almeida RA,Olivo TE,Mendes RP,Barraviera SR,Souza Ldo R,Martins JG,Hashimoto M,Fabris VE,Ferreira Junior RS,Barraviera Bdoi
10.1590/s0037-86822011000600020subject
Has Abstractpub_date
2011-11-01 00:00:00pages
755-61issue
6eissn
0037-8682issn
1678-9849pii
S0037-86822011000600020journal_volume
44pub_type
杂志文章abstract：INTRODUCTION:Renal damage is a consequence of severe malaria, and is generally caused by sequestration of Plasmodium falciparum -infected erythrocytes in the renal microcirculation, which leads to obstruction, hypoxia, and ischemia. This triggers high mobility group box 1 (HMGB1) to send a danger signal through toll-li...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0049-2017
更新日期：2017-07-01 00:00:00
abstract：INTRODUCTION:Hepatitis C is a public health problem of global dimensions, affecting approximately 200 million people worldwide. The main objective of this study was to estimate the incidence rate of hepatitis C in Brazil during the period between 2001 and 2012. METHODS:An epidemiological, temporal, and descriptive stu...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0230-2015
更新日期：2015-11-01 00:00:00
abstract：:HTLV-1 is the virus that causes T cell lymphoma/leukemia in adults and a neurological disorder known as HTLV-associated myelopathy or tropical spastic paraparesis. One of the transmission means is through contaminated blood and its byproducts. Because of the risk of HTLV-associated infections, screening for HTLV was i...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822007000300005
更新日期：2007-05-01 00:00:00
abstract：:Previous evaluation of the genetic variability of four biogeographical populations of Lutzomyia whitmani from known foci of cutaneous leishmaniasis in Brazil demonstrated two main spatial clusters: Corte de Pedra-BA, Ilhéus-BA and Serra de Baturité-CE in the first cluster, and Martinho Campos-MG in the second. Further...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822004000200007
更新日期：2004-03-01 00:00:00
abstract：:Chagasic patients with megaesophagus were submitted to an endoscopy of the upper digestive tract and the samples were collected with special instruments under sterilized conditions. One of the four samples collected was from the stase liquid and the other three samples were collected from fragments of the esophageal m...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Yeast infections are common in immunocompromised patients, although emerging species have been changing the epidemiological profile. The ability to secrete proteinases has been associated with pathogenicity within the genus Candida. This study had the aims of diagnosing yeast infections in immunocompromised patients a...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822009000200019
更新日期：2009-03-01 00:00:00
abstract：:Aeromonas spp is recognized as pathogenic to humans after consumption of contaminated water and food. In the present investigation, 2,323 rectal swab samples from newborns hospitalized in Rio de Janeiro were evaluated with a view to isolating Aeromonas. The samples were collected and sent to the national reference lab...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822008000200009
更新日期：2008-03-01 00:00:00
abstract：INTRODUCTION:Appropriate preservation of specimens is important for taxonomic identification. In sandfly research, various methods have been used for slide preparation; however, high cost, low commercial availability, and associated hazards make their use impossible in some studies. Therefore, the efficacy of Kisser gl...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0072-2018
更新日期：2019-02-21 00:00:00
abstract：:Accidents caused by scorpions are a serious public health problem in Brazil. Rhopalurus agamemnon is a large scorpion found in the Cerrado (savanna) biome, and it is very abundant in many localities in central Brazil. The species inhabits open savanna environments, and is common inside termite mounds. However, it disa...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822010000300027
更新日期：2010-05-01 00:00:00
abstract：:This study had the aim of ascertaining epidemiological and clinical differences in envenoming caused by Bothrops spp between elderly adults (>60 years) and non-elderly adults (20 to 59 years). The data were obtained from 1,930 medical records of patients attended at the Butantan Institute between 1981 and 1992. The gr...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822008000100009
更新日期：2008-01-01 00:00:00
abstract：:In the State of Amazonas, accidents with snakes are a public health problem. For this reasons, the objective of this work was to carry out a descriptive study of the snake accidents attended in the health units of 34 municipalities, one district and two border platoons in the State of Amazonas. The characteristics mos...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：INTRODUCTION:Coronavirus disease 2019 (COVID-19), a potentially fatal disease, is caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The number of cases has increased rapidly, but information on the clinical characteristics remains limited. METHODS:Cohort study. We collected and analyzed epide...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0579-2020
更新日期：2020-11-25 00:00:00
abstract：:INTRODUCTION Characterization of Mycobacterium tuberculosis (MTB) isolates by DNA fingerprinting has contributed to tuberculosis (TB) control. The aim of this study was to determine the genetic diversity of MTB isolates from Tehran province in Iran. METHODS MTB isolates from 60 Iranian and 10 Afghan TB patients were f...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0405-2015
更新日期：2016-04-01 00:00:00
abstract：INTRODUCTION:Hepatitis B is common in Brazil, although there are regional differences regarding the degree of endemicity, the most frequent forms of transmission and the presence of different evolutive stages of chronic disease. The present study aimed to determine the clinical, demographic and epidemiological characte...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822011000100004
更新日期：2011-01-01 00:00:00
abstract：:We retrospectively analyzed a series of 151 cases of cutaneous leishmaniasis treated between 1967 and 1982. One-hundred-and-thirty-nine (92%) patients presented with active lesions and were treated with daily doses of meglumine antimoniate: 81 adults received a 5-ml vial IM and 58 children received 1 to 5 ml. Forty-fi...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822005000300001
更新日期：2005-05-01 00:00:00
abstract：INTRODUCTION:Amphotericin B, azole or sulfamide drugs are used for treatment of patients with paracoccidioidomycosis. Among the azole drugs, voriconazole was active in vitro against Paracoccidioides brasiliensis and showed efficacy in the treatment of patients infected with this fungus.In the present study the antifung...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：INTRODUCTION:This study characterized the clinico-epidemiological profile of American cutaneous leishmaniasis (ACL) cases in Barbalha, Ceará State, Brazil. METHODS:Medical records of 363 patients visiting Federal University of Cariri between 2009 and 2014 were analyzed. RESULTS:ACL was more prevalent in men with low ...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0504-2017
更新日期：2018-11-01 00:00:00
abstract：INTRODUCTION:Exclusive or associated lesions in various structures of the autonomic nervous system occur in the chronic forms of Chagas disease. In the indeterminate form, the lesions are absent or mild, whereas in the exclusive or combined heart and digestive disease forms, they are often more pronounced. Depending on...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章,评审
doi：10.1590/s0037-86822012000200020
更新日期：2012-03-01 00:00:00
abstract：:From September to November 1994. 21 patients with active mucosal leishmaniasis were treated with aminosidine sulphate 16 mg/kg/day by intramuscular injection for 20 days. They were principally adult male agricultural workers. Thirteen patients had not received specific treatment and eight had failed to respond to Gluc...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86821996000600005
更新日期：1996-11-01 00:00:00
abstract：:The aim of this study was to verify the occurrence of intestinal parasites and commensal organisms among children attending a school located in a settlement of 'landless farm workers' in Campo Florido, Minas Gerais, Brazil. Coproparasitological analyses performed on 72 school children revealed 59.7% positivity and 4 t...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Four specimens of Triatoma vitticeps and one of Panstrongylus geniculatus were caught inside a home in the municipality of São Fidélis, Rio de Janeiro. One of the specimens of Triatoma vitticeps proved positive for infection with Trypanosoma cruzi. Two people living in that home (one adult and one adolescent) presente...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822008000400020
更新日期：2008-07-01 00:00:00
abstract：:Xacriabá Indian Reserve is situated in the north of Minas Gerais State, Brazil, near the municipality of Manga and São Francisco River. The Indian population is miscegenated with caucasian and negroid people and have farming activities. Blood samples were collected from 180 inhabitants of the reserve (85 men and 95 wo...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822002000400011
更新日期：2002-07-01 00:00:00
abstract：:Vertebral localization of Brucellosis has a low occurrence nowadays. Because of its rarity, it is essential to pay attention to structural modifications of the vertebral segment caused by bacterial spondylodiscitis. Based on a clinical case, with radiological, anatomicopathological and labatorial aspects related to th...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822002000300010
更新日期：2002-05-01 00:00:00
abstract：:There is a high prevalence of accidental human infection with Angiostrongylus costaricensis in some areas in southern Brazil and sometimes it presents as severe intestinal disease. Prophylaxis is important since there is no medical treatment for the disease. The ingestion of fruits and vegetables contaminated with the...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86821995000400013
更新日期：1995-10-01 00:00:00
abstract：INTRODUCTION:Chagas disease is caused by Trypanosoma cruzi and treated with benznidazole (BNZ). This drug has the troublesome features of presenting partial effectiveness and high toxicity ranging from hypersensitivity reactions to medullary aplasia. The objective here was to describe and evaluate the occurrence of adv...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822010000200015
更新日期：2010-03-01 00:00:00
abstract：INTRODUCTION: :This study analyzed blackfly awareness and perceptions of health education practices for blackfly control among vulnerable populations in Brazil. METHODS: :An exploratory descriptive quantitative research analysis was performed to investigate and analyze the awareness of and potential participation in b...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/0037-8682-0264-2016
更新日期：2017-05-01 00:00:00
abstract：:In 1987 the University of Guadalajara performed a seroepidemiological survey in order to know the prevalence of infection for Trypanosoma cruzi in the 124 counties of the state of Jalisco, Mexico in which appraisals of 21.6 for 100 inhabitants were gotten. From December of 1993 to June of 1994 was carried out a pursui...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
abstract：:Tuberculosis is an important cause of mortality due to its high prevalence, considering that one third of the worlds population is infected with the tuberculosis bacillus. We report the first case of carcinomatous lymphangitis associated with active pulmonary tuberculosis. Carcinomatous lymphangitis is a rare event th...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86822007000100016
更新日期：2007-01-01 00:00:00
abstract：:Canine brains infected with rabies virus were submitted to decomposition by being left at room temperature of 25 to 29 degrees C for up to 168 h. At 24 h intervals, brain fragments were analyzed by immunofluorescence (IF) and by the mouse intracerebral inoculation (MI) test to confirm the diagnosis of rabies and to me...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86821999000100004
更新日期：1999-01-01 00:00:00
abstract：:Cats are the definitive hosts of Toxoplasma gondii. Infected cats excrete oocysts in their feces, infecting humans and other animals. The objective of the present study was to determine the presence of anti-Toxoplasma antibodies in cat owners and their pets, and determine if there was a relationship between Toxoplasma...
journal_title：Revista da Sociedade Brasileira de Medicina Tropical
pub_type： 杂志文章
doi：10.1590/s0037-86821999000500003
更新日期：1999-09-01 00:00:00
