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Shin, Bae, Jung, Lee, Kim, Chang, Park, Lee, and Kim: Rhabdomyolysis and diabetic ketoacidosis after bee sting: A case report
Case Report

Allergy Asthma Respir Dis 2018;6(2):128-130.

Published online: 5 March 2018

DOI: https://doi.org/10.4168/aard.2018.6.2.128

Rhabdomyolysis and diabetic ketoacidosis after bee sting: A case report

Seung Hwan Shin, So Hyun Bae, Hye Jin Jung, Sang Ah Lee, Shin-Woo Kim, Hyun-Ha Chang, Han-Ki Park, Jong-Myung Lee, Sujeong Kim

Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea

Correspondence to: Sujeong Kim https://orcid.org/0000-0002-2494-9216 Department of Internal Medicine, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea Tel: +82-53-200-6570, Fax: +82-53-424-5542, E-mail: sjk@knu.ac.kr

Received 7 June 201711 July 2017       Accepted 18 July 2017

Copyright © 2018 The Korean Academy of Pediatric Allergy and Respiratory Disease; The Korean Academy of Asthma

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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: Bee sting, Rhabdomyolysis, Diabetic ketoacidosis

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