Abstract Ref Number = APCP1092
BEE STING-INDUCED ACUTE KIDNEY INJURY A CASE REPORT
Ramot Pardede, ,
Department of pediatrics faculty of medicine Diponegoro University
Background : Bee stings can lead to multiple organ failure. Serious complications of bee stings include hypersensitivity to the venom, which can develop after a single sting, and acute renal failure which has been reported mostly secondary of intravascular hemolysis developing after multiple bee stings. We report a child who developed acute kidney injury, seven days after multiple bee stings.
Case Presentation Summary : A-3 years-old-girl was admitted to Kariadi Hospital with acute kidney injury following multiple bee stings and referred by a local hospital. The clinical manifestations and physical examination were angioedema, oliguria, anemia, enlarged liver, convulsions, and hyperpigmentation in the face, round shape, diameter 0,3 cm. The report of blood test were leukocytosis (35.800 103/uL), hemolytic anemia(Hb 6 gr/dL), elevated liver function (AST/ALT 112/525u/L), urea (271 mg/dL) and creatinine (6,18 mg/dL), glomerular filtration rate (8,8 ml/min/1,73m2), metabolic acidosis (pH 7,3, pCO2 26,8, HCO3 15,9, pO2 143,7). The imaging chest x ray showed pulmonary oedema. The renal function improved with supportive management including two sessions of haemodialysis. Indications for hemodialysis were acute kidney injury stadium failure, oliguria, metabolic acidosis and acute pulmonary oedema.
Learning Points/Discussion : Multiple bee stings may lead to acute kidney injury. Treatment of acute kidney injury caused by bee stings is based on the same principles of other renal injuries. An immediate management is crucial. A hemodialysis may be indicated for acute kidney injury due to multiple bee stings.
Keywords: Bee sting Acute kidney injury Hemodialisys