Evidence map›Paper›PMID 24962710›Full record

ReviewClinical reviews in allergy & immunology2014

Unusual reactions to hymenoptera stings: what should we keep in mind?

Ervin Ç Mingomataj, Alketa H Bakiri, Alkerta Ibranji, Gunter J Sturm

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical reviews in allergy & immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Pulmonary involvement from animal toxins: the cellular mechanisms.The journal of venomous animals and toxins including tropical diseases · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Idioventricular rhythm and shock after a honeybee sting.Archivos de cardiologia de Mexico · 2021
    Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Acute toxic kidney injury.Renal failure · 2019
    Review
  17. Review
  18. Article
  19. Envenomation Seizures.The Neurohospitalist · 2018
    Article
  20. Acute kidney injury complicating bee stings - a review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ervin Ç MingomatajDepartment of Allergology and Clinical Immunology, "Mother Theresa" School of Medicine, Tirana, Albania, allergology@gmx.de.
Alketa H Bakiri
Alkerta Ibranji
Gunter J Sturm
Mother Teresa Hospital · ALMedical University of Graz · ATUniversity of Medicine Tirana · AL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review includes a variety of extremely rare and unusual hymenoptera sting (HS) circumstances with regard to sting localization, geographic region, massivity of multiple stings, and particularly related to clinical symptoms. Such reactions occur in a temporal relationship to HS (s), differ from typical allergic symptomatology, and sometimes need follow-up during many months. With respect to pathogenesis, the major mechanisms involved are toxic, autoimmune, and other delayed immunological ones. While delayed inflammatory symptoms of the nervous system are considered as delayed hypersensitization or autoimmune entities, generalized rhabdomyolysis and consecutive acute kidney injury is considered a toxic reaction, mostly induced by massive envenomation to wasps or "Africanized" bees. Hemorrhagic episodes of targeted organ (s) could be additional potential risk for acute kidney injury, while the bee venom-induced hemorrhage is proposed to be a nonimmune-mediated anaphylactic symptom. The hemodynamic involvement of vital organs and systems with hypoxia and hypovolemia together with simultaneous immunoglobulin E (IgE) sensitization are considered potential indications for venom immunotherapy. In contrast, patients who have experienced various complications with unknown or nonallergic mechanisms should be informed about the importance of epinephrine's use and additional measures on future sting avoidance. In conclusion, although unusual reactions are extremely rare, it is important to keep them in mind.

Indexed as

Desensitization, ImmunologicAnimalsAutoimmunityEpinephrineHumansHymenopteraHypersensitivity, DelayedInsect Bites and StingsPatient Education as TopicRhabdomyolysisVenomsEpinephrineVenoms

Identifiers

PMID24962710
OpenAlexW1998331884

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.