Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India
Most deaths related to Hymenoptera are a result of immediate hypersensitivity reactions causing anaphylaxis to one or few stings. However, if the patient is exposed to a large quantity of the venom due to mass/multiple stings, massive envenomation can cause death in nonallergic individuals. Thirty-n...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Public Health |
| Subjects: | |
| Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=2;spage=154;epage=156;aulast=Vikrant |
| _version_ | 1819002881870659584 |
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| author | Sanjay Vikrant Ajay Jaryal Anupam Parashar |
| author_facet | Sanjay Vikrant Ajay Jaryal Anupam Parashar |
| author_sort | Sanjay Vikrant |
| collection | DOAJ |
| description | Most deaths related to Hymenoptera are a result of immediate hypersensitivity reactions causing anaphylaxis to one or few stings. However, if the patient is exposed to a large quantity of the venom due to mass/multiple stings, massive envenomation can cause death in nonallergic individuals. Thirty-nine cases of acute kidney injury (AKI) who followed mass attacks by Hymenoptera were seen over 15 years, with a reference period between 2003 and 2017. AKI was severe; most (85%) of them required dialysis and one-third died. Mass attacks by Hymenoptera have become a serious public health problem in tropics. There is no antivenom, and treatment in such cases is supportive. Early hospitalization is vital to reduce morbidity and mortality. |
| first_indexed | 2024-12-20T23:12:09Z |
| format | Article |
| id | doaj.art-3e812cb80cdd4718bf183ff600d1bf1e |
| institution | Directory Open Access Journal |
| issn | 0019-557X |
| language | English |
| last_indexed | 2024-12-20T23:12:09Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj.art-3e812cb80cdd4718bf183ff600d1bf1e2022-12-21T19:23:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2019-01-0163215415610.4103/ijph.IJPH_222_18Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of IndiaSanjay VikrantAjay JaryalAnupam ParasharMost deaths related to Hymenoptera are a result of immediate hypersensitivity reactions causing anaphylaxis to one or few stings. However, if the patient is exposed to a large quantity of the venom due to mass/multiple stings, massive envenomation can cause death in nonallergic individuals. Thirty-nine cases of acute kidney injury (AKI) who followed mass attacks by Hymenoptera were seen over 15 years, with a reference period between 2003 and 2017. AKI was severe; most (85%) of them required dialysis and one-third died. Mass attacks by Hymenoptera have become a serious public health problem in tropics. There is no antivenom, and treatment in such cases is supportive. Early hospitalization is vital to reduce morbidity and mortality.http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=2;spage=154;epage=156;aulast=VikrantHymenopteramass envenomationmortalitytropics |
| spellingShingle | Sanjay Vikrant Ajay Jaryal Anupam Parashar Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India Indian Journal of Public Health Hymenoptera mass envenomation mortality tropics |
| title | Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India |
| title_full | Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India |
| title_fullStr | Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India |
| title_full_unstemmed | Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India |
| title_short | Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India |
| title_sort | mortality due to mass hymenoptera attacks a serious but underrecognized public health problem in a mountainous state of india |
| topic | Hymenoptera mass envenomation mortality tropics |
| url | http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=2;spage=154;epage=156;aulast=Vikrant |
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