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蜂蜇伤导致横纹肌溶解引起的急性肾损伤。

Acute Kidney Injury Secondary to Rhabdomyolysis Due to Wasp Bite.

机构信息

Manosamajik Apanga Bandi Hospital, Nakhkhu, Lalitpur.

Department of Emergency and General Practice, Patan Hospital, Patan, Lalitpur.

出版信息

Kathmandu Univ Med J (KUMJ). 2023;21(84):456-459.

Abstract

Wasp and bee bites have been well known to cause effects in the human body ranging from minor local skin reactions to deadly anaphylactic reactions. They have also been known to disrupt kidney functions or cause liver injury. The kidney injury associated with wasp bite is a well-known phenomenon, but it is still very rare. We report a case of a 74-year-old man who developed rhabdomyolysis and acute kidney injury, three days after he was bitten by wasp. His symptoms improved after nine days of hospital admission, where he received fluid resuscitation and hemodialysis sessions. This report aims to educate clinicians about the diverse effects of wasp bite for timely diagnosis and management.

摘要

黄蜂和蜜蜂叮咬会对人体造成多种影响,从轻微的局部皮肤反应到致命的过敏性反应都有。它们还会破坏肾脏功能或导致肝脏损伤。与黄蜂叮咬相关的肾脏损伤是一种众所周知的现象,但仍然非常罕见。我们报告了一例 74 岁男性,他在被黄蜂叮咬三天后出现横纹肌溶解和急性肾损伤。他在住院九天后接受了液体复苏和血液透析治疗,症状得到改善。本报告旨在教育临床医生注意黄蜂叮咬的多种影响,以便及时诊断和治疗。

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