Acute Pancreatitis and Rhabdomyolysis with Acute Kidney Injury following Multiple Wasp Stings. (19th June 2017)

• Record Type: Journal Article
• Authors: Yang, Seo Hee; Song, Yeon Han; Kim, Tae Hoon; Kim, Su Bin; Han, Sang Youb; Kim, Han-Seong; Oh, Se Won
• Other Names: Haase-Fielitz Anja Academic Editor.
• Is Part Of: Case reports in nephrology. Volume 2017(2017)
• Publication Date: 2017-06-19
• Subjects: Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrology; Kidneys -- Diseases; Nephrology; Periodicals; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2017/8596981
• Languages: English
• ISSNs: 2090-6641

Abstract

Abstract : Multiple wasp stings can induce multiple organ dysfunction by toxic reactions. However, acute pancreatitis is a rare manifestation in wasp sting injury. A 74-year-old woman visited the emergency department by anaphylactic shock because of multiple wasp stings. Acute kidney injury, rhabdomyolysis, hepatotoxicity, and coagulopathy were developed next day. Serum amylase and lipase were elevated and an abdominal computed tomography revealed an acute pancreatitis. Urine output was recovered after 16 days of oliguria (below 500 ml/day). Her kidney, liver, and pancreas injury gradually improved after sessions of renal replacement therapy.