• JNMA J Nepal Med Assoc · Oct 2022

    Case Reports

    Multiple Wasp Stings Leading to Rhabdomyolysis Induced Acute Kidney Injury with Incidental Ectopic Kidney: A Case Report.

    • Angel Dongol, Abhin Sapkota, Rahul Devkota, Asim Pandey, and Tulsi Ram Bhattarai.
    • Department of Nephrology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2022 Oct 1; 60 (254): 898901898-901.

    UnlabelledRhabdomyolysis refers to skeletal muscle breakdown causing a release of different intracellular proteins including myoglobin and several electrolytes in the bloodstream. Elevations diagnose rhabdomyolysis in serum creatine kinase. Mass envenomation by multiple wasp stings can cause rhabdomyolysis followed by acute kidney injury, although it is scarce. A 24-year-old male presented to our tertiary centre in an anaphylaxis-like state after multiple wasps sting, rapidly developing rhabdomyolysis followed by acute kidney injury. Despite having an ectopic kidney with a pre-existing renal parenchymal disease, he recovered and was discharged, which in itself is a rare entity of low clinical incidence. Wasp stings can potentially result in serious clinical manifestations, which need to be watched over, assessed and promptly treated.Keywordsacute kidney injury; case reports; creatine kinase; hymenoptera; rhabdomyolysis.

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