{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:49:22Z","timestamp":1787320162992,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Honeybee stings with features of envenomation (either local or allergic and rarely systemic toxicity) are often seen in agriculture workers. An initial presentation with severe diffuse alveolar hemorrhage or pulmonary-renal syndrome is rare and only confined to a few case reports. Herein, we describe a case of a 45-year-old male who presented with multiple bee stings and subsequently developed acute kidney injury and pulmonary hemorrhage. He was managed with hemodialysis, invasive mechanical ventilation, red-cell transfusion, and pulse methylprednisolone. However, he developed cardiac arrhythmias with ventricular tachycardia and died.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjem.tjem_138_22","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T02:07:23Z","timestamp":1696385243000},"page":"246-249","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Severe pulmonary-renal syndrome in honeybee sting envenomation \u2013 A case report"],"prefix":"10.4103","volume":"23","author":[{"given":"Alan","family":"Shaji","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malik","family":"Parvez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naresh Kumar","family":"Chirumamilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalin","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok Kumar","family":"Pannu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240909","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.3389\/fimmu.2019.02090","article-title":"Bee updated: Current knowledge on bee venom and bee envenoming therapy","volume":"10","author":"Pucca","year":"2019","journal-title":"Front Immunol"},{"key":"R2-9-20240909","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/1596-3519.154241","article-title":"Acute kidney injury following multiple bee stings","volume":"15","author":"Nair","year":"2016","journal-title":"Ann Afr 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purpura","volume":"96","author":"Ashley","year":"2003","journal-title":"South Med J"},{"key":"R11-9-20240909","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.rdc.2015.01.004","article-title":"Pulmonary vasculitis","volume":"41","author":"Lally","year":"2015","journal-title":"Rheum Dis Clin North Am"},{"key":"R12-9-20240909","first-page":"186","article-title":"Idioventricular rhythm and shock after a honeybee sting","volume":"91","author":"Franco-Lugo","year":"2021","journal-title":"Arch Cardiol Mex"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_138_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:17:03Z","timestamp":1787167023000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_138_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/tjem.tjem_138_22","relation":{},"ISSN":["2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}