Department of Nephrology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Chirayu National Hospital and Medical Institute Pvt. Ltd, Basundhara, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Oct 1;60(254):898-901. doi: 10.31729/jnma.7866.
Rhabdomyolysis refers to skeletal muscle breakdown causing a release of different intracellular proteins including myoglobin and several electrolytes in the bloodstream. Elevations diagnose rhabdomyolysis in serum creatine kinase. Mass envenomation by multiple wasp stings can cause rhabdomyolysis followed by acute kidney injury, although it is scarce. A 24-year-old male presented to our tertiary centre in an anaphylaxis-like state after multiple wasps sting, rapidly developing rhabdomyolysis followed by acute kidney injury. Despite having an ectopic kidney with a pre-existing renal parenchymal disease, he recovered and was discharged, which in itself is a rare entity of low clinical incidence. Wasp stings can potentially result in serious clinical manifestations, which need to be watched over, assessed and promptly treated.
acute kidney injury; case reports; creatine kinase; hymenoptera; rhabdomyolysis.
横纹肌溶解症是指骨骼肌分解导致不同的细胞内蛋白质(包括肌红蛋白和几种电解质)释放到血液中。血清肌酸激酶升高可诊断为横纹肌溶解症。大量黄蜂蜇伤可导致横纹肌溶解症,随后发生急性肾损伤,尽管这种情况很少见。一名 24 岁男性在被多只黄蜂蜇伤后出现类似过敏反应的状态,迅速出现横纹肌溶解症,随后发生急性肾损伤,随后被送往我们的三级中心。尽管他有异位肾和先前存在的肾实质疾病,但他仍康复并出院,这本身就是一种罕见的低临床发病率的情况。黄蜂蜇伤可能会导致严重的临床症状,需要进行观察、评估和及时治疗。
急性肾损伤;病例报告;肌酸激酶;膜翅目;横纹肌溶解症。