Bee-stings possibly caused severe complications such as anaphylaxis, acute renal failure and coagulation disorders potentially leading to death. However, the little attention has actually been paid to acute renal failure. Objectives: To assess the features of acute renal failure resulted from bee-stings and to describe pathohistorical injuries of affected kidneys. Method: prospective observational study, evaluation of pre- and post-treatment. Results: 70 patients with 1 to 270 stings from wasp, hornet, and yellow jacket were hospitalized in Poison Control Center of Bach Mai Hospital during two years 2002 and 2003. The number of stings in patients with acute renal failure ranged from 15 to 105 (mean: 50.5). The duration of anuria phase was from 4 to 45 days (mean: 14.7 days) Conclusions: Acute renal failures accounted for 21.4% (15/70 patients), and resulted from stings of wasp and hornet. Early forced diuresis therapy reduced the percentage patients need of hemodialysis. Pathohistological findings revealed the pattern of acute tubular necrosis.
Kidney Failure, Bees, Diagnosis