Dongol Yashad, Paudel Yadab Prasad, Shrestha Rakesh Kumar, Aryal Gopi
Department of Biochemistry, KIST Medical College and Teaching Hospital, Lalitpur, Nepal.
Department of Biochemistry, Little Angels' College of Higher Studies, JF Institute of Health Education, Lalitpur, Nepal.
Clin Kidney J. 2012 Apr;5(2):158-161. doi: 10.1093/ckj/sfr171. Epub 2012 Feb 22.
Hornet stings are medically important stings which can cause allergic manifestations and, in severe cases, may lead to the unusual complication of acute renal failure (ARF) and other systemic complications. ARF results from toxic or ischaemic acute tubular necrosis in a setting of haemolysis or rhabdomyolysis or both and acute allergic interstitial nephritis. Venom from hornet stings can also contribute to myocardial injury or liver impairment. Here, we report three cases of hornet stings leading to ARF. Case #1 and Case #3 recovered their renal function and body physiology after a 38-day and 15-day stay in the hospital, respectively, whereas Case #2 died. They were meticulously supported by haemodialysis along with the combination of various drug regimens.
黄蜂蜇伤在医学上是重要的蜇伤，可引起过敏表现，严重时可能导致急性肾衰竭（ARF）这一罕见并发症及其他全身并发症。ARF是由溶血或横纹肌溶解或两者并存情况下的毒性或缺血性急性肾小管坏死以及急性过敏性间质性肾炎引起的。黄蜂蜇伤的毒液也可导致心肌损伤或肝功能损害。在此，我们报告3例因黄蜂蜇伤导致ARF的病例。病例1和病例3分别在住院38天和15天后恢复了肾功能和身体生理机能，而病例2死亡。他们在接受血液透析以及多种药物治疗方案联合治疗的精心支持下。
