Acute renal failure following wasp sting in children

被引：0
作者：
Prayong Vachvanichsanong
Pornsak Dissaneewate
机构：
[1] Prince of Songkla University,Department of Pediatrics, Faculty of Medicine
来源：
European Journal of Pediatrics | 2009年 / 168卷
关键词：
Acute renal failure; Bee sting; Hemolysis; Hornet sting; Liver failure; Rhabdomyolysis; Wasp sting;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The medical records of patients admitted between 1985 and 2007 with wasp stings were retrospectively analyzed. Among the 45 children, seven developed acute renal failure. Classical clinical and laboratory data pointed to hemolysis and rhabdomyolysis as the underlying pathophysiology. All patients had hyponatremia and hyperkalemia as well as metabolic acidosis. Six patients had anemia. Five patients were oliguric for 9 to 15 days. Maximum serum creatinine was 4.0 to 11.9 mg/dl. Peritoneal dialysis was performed for 3 to 15 days. One patient died due to hyperkalemia, the remaining ones recovered completely. This paper wants to remind pediatricians to watch for acute renal failure in children with wasp stings.
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