Allergy, Asthma & Respiratory Disease

The Korean Academy of Asthma, Allergy and Clinical Immunology (대한천식알레르기학회)
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Rhabdomyolysis and diabetic ketoacidosis after bee sting: A case report

벌쏘임에 의해 발생한 횡문근융해증 및 당뇨병케톤산증 1예

  • Shin, Seung Hwan (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Bae, So Hyun (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Jung, Hye Jin (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Sang Ah (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Shin-Woo (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Chang, Hyun-Ha (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Han-Ki (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Jong-Myung (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Sujeong (Department of Internal Medicine, School of Medicine, Kyungpook National University)
  • 신승환 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 배소현 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 정혜진 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 이상아 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 김신우 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 장현하 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 박한기 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 이종명 (경북대학교 의과대학, 의학전문대학원 내과학교실) ;
  • 김수정 (경북대학교 의과대학, 의학전문대학원 내과학교실)
  • Received : 2017.06.07
  • Accepted : 2017.07.18
  • Published : 2018.03.31
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Abstract

Bee stings result in diverse clinical manifestations from localized pain, rash to life-threatening systemic allergic reactions or toxic reactions. Toxic reactions include skin necrosis, pancreatitis, acute renal failure, hemolysis or coagulopathy, while systemic allergic reactions present with IgE-mediated anaphylaxis. We experienced a 63-year-old woman who developed rhabdomyolysis and diabetic ketoacidosis after bee sting. The patient was accompanied by pulmonary edema due to acute kidney injury, which was recovered by intensive hemodialysis treatment. Here, we report a rare and serious case induced by bee sting with a review of the literature.

Keywords

References

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