{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:58:09Z","timestamp":1792821489528,"version":"4.5.0"},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,7]]},"abstract":"<jats:title>Abstract.<\/jats:title><jats:p>In French Guiana, a French overseas region partly located in the Amazon, \u201cAfricanized\u201d bees, a hybrid species of Brazilian bees known as \u201ckiller bees,\u201d have been observed since 1975. Since then, several cases requiring long hospitalization times have been described, allowing for a better understanding of the physiopathological mechanisms of this particular envenomation. Here, we report on a series of 10 cases of patients simultaneously attacked by hundreds of killer bees and immediately treated by a prehospital medical team already on site. Between 75 and 650 stingers were removed per victim. The reference treatment for anaphylaxis using intramuscular injection of epinephrine, vascular filling, and oxygen therapy was administered to all patients without delay. A clinical description was provided, and biological tests were performed immediately after the envenomation. We therefore observe the existence of a two-phase, medically well-controlled systemic toxic reaction. Thus, all our patients left the hospital after 44 hours of monitoring with no complications or sequelae, despite levels of intoxication described as potentially fatal elsewhere in the literature.<\/jats:p>","DOI":"10.4269\/ajtmh.20-1432","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T15:30:44Z","timestamp":1625758244000},"page":"225-229","source":"Crossref","is-referenced-by-count":7,"title":["Case Report: \u201cKiller Bee\u201d Swarm Attacks in French Guiana: The Importance of Prompt Care"],"prefix":"10.4269","volume":"105","author":[{"given":"Swann","family":"Geoffroy","sequence":"first","affiliation":[{"name":"1Service des Urgences, Cayenne Hospital, Cayenne, French Guiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Lambert","sequence":"additional","affiliation":[{"name":"2Centre d\u2019Investigation Clinique Antilles-Guyane (Inserm 1424), Cayenne Hospital, Cayenne, French Guiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Fremery","sequence":"additional","affiliation":[{"name":"1Service des Urgences, Cayenne Hospital, Cayenne, French Guiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Marty","sequence":"additional","affiliation":[{"name":"3Croix-Rouge Fran\u00e7aise, Cayenne, French Guiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"4Centre M\u00e9dical Interarm\u00e9es, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/105\/1\/article-p225.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/105\/1\/article-p225.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T15:30:45Z","timestamp":1625758245000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/105\/1\/article-p225.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,7]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.20-1432","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,7]]}}}