{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:21:30Z","timestamp":1792192890974,"version":"4.4.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,18]]},"abstract":"<jats:p>Acute kidney injury (AKI) is a well-documented complication of massive attack by Africanised bees and can be observed 48\u201372\u2005h 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 (&gt;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\u2005h 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\u2005days after admission.<\/jats:p>","DOI":"10.1136\/bcr-2013-201381","type":"journal-article","created":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T07:23:37Z","timestamp":1394522617000},"page":"bcr2013201381","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Acute kidney injury after massive attack of Africanised bees"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ramaiane A","family":"Bridi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University Sao Paulo State-UNESP, Botucatu, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Luis","family":"Balbi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Sao Paulo State-UNESP, Botucatu, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Precil M","family":"Neves","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Sao Paulo State-UNESP, Botucatu, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Ponce","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Sao Paulo State, Botucatu, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,3,11]]},"reference":[{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.1","doi-asserted-by":"publisher","DOI":"10.1590\/S0037-86822011000600020"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.2","doi-asserted-by":"publisher","DOI":"10.1590\/S0037-86822009000200024"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-002-0888-0"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.4","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.8.925"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.5","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh438"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.6","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652013000100011"},{"key":"2025082703025344000_2014.mar11_1.bcr2013201381.7","first-page":"531","article-title":"Acute renal failure due to multiple stings by Africanized bees. 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