Rhabdomyolysis and Acute Renal Failure Due to Honeybee Stings.
- Author:
Young Min CHO
1
;
Min Hee RHEW
;
Ho Jun CHIN
;
Choon Soo LIM
;
Cu Rie AHN
;
Jin Suk HAN
;
Suhng Gwon KIM
;
Jung Sang LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Beesting;
Rhabdomyolysis;
Acute renal failure
- MeSH:
Acute Kidney Injury*;
Apamin;
Bee Venoms;
Bees;
Bites and Stings*;
Edema;
Hematuria;
Hemolysis;
Humans;
Hyaluronoglucosaminidase;
Melitten;
Middle Aged;
Neck;
Oliguria;
Phospholipases A2;
Renal Dialysis;
Rhabdomyolysis*;
Upper Extremity;
Venoms
- From:Korean Journal of Nephrology
1998;17(1):166-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Honeybee venom consists of melittin, apamin, phospholipase A2, hyaluronidase and other biologically active substances. It can cause potentially lethal reaction after mass envenomation. But, acute renal failure following multiple bee stings is rare and its pathogenesis is not well known. The possible causes of acute renal failure due to multiple bee stings are rhabdomyolysis, hemolysis and direct nephrotoxicity of bee venom. A 60-year-old man was the victim of a bee(Apis mellifera) attack. More than 780 bee stings were found over his face, neck and upper extremities. Gross hematuria, oliguria and generalized edema was developed within a few hours. He has fully recovered after general supportive care including hemodialysis. This case demonstrates that multiple bee stings may cause rhabdomyolysis with consequent acute renal failure.
