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| 벌에 쏘인 후 발생한 횡문근융해증과 급성신부전 1예 |
| 조영민 , 류민희 , 진호준 , 임춘수 , 안규리 , 한진석 , 김성권 , 이정상 |
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| Abstract |
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Honeybee venom consists of melittin, apamin, phospholipase A2, hyaluronidase and other biolo- gically active substances. It can cause potentially lethal reaction after mass envenomation. But, acute renal failure following multiple bee stings is rare and its pathogenesis is not well known. The possible causes of acute renal failure due to multiple bee stings are rhabdomyolysis, hemolysis and direct nephrotoxicity of bee venom. A 60-year-old man was the victim of a bee(Apis mellipra) attack. More than 780 bee stings were found over his face, neck and upper extremities. Gross hematuria, oliguria and generalized edema was developed within a few hours. He has fully recovered after general suppo- rtive care including hemodialysis. This case demon- strates that multiple bee stings may cause rhabdo- myolysis with consequent acute renal failure. |
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