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A Case Report on Rhabdomyolysis After Multiple Bee Stings
Krishna Constantino1, Alec J Pawlukiewicz1, Leigh Spear1
1Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus
|September 4, 2020
Summary
Envenoming syndrome from multiple Hymenoptera stings can cause severe illness. Even if stable initially, consider this syndrome in patients with over 50 bee stings due to risks of rhabdomyolysis and acute kidney injury.
Area of Science:
- Toxicology
- Nephrology
- Emergency Medicine
Background:
- Envenoming syndrome is a rare but serious condition following numerous Hymenoptera stings.
- It is associated with significant morbidity and mortality.
Observation:
- A case of a 90-year-old male with over 100 bee stings was reviewed.
- The patient presented with rhabdomyolysis and acute kidney injury.
Findings:
- Multiple Hymenoptera stings can lead to envenoming syndrome.
- Rhabdomyolysis and acute kidney injury are potential complications.
Implications:
- Physicians should suspect envenoming syndrome in patients with >50 bee stings.
- Early consideration is crucial, even in hemodynamically stable patients.
- This highlights the importance of recognizing and managing severe Hymenoptera envenomation.
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