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Case Reports in Nephrology
Volume 2017 (2017), Article ID 8596981, 3 pages
Case Report

Acute Pancreatitis and Rhabdomyolysis with Acute Kidney Injury following Multiple Wasp Stings

1Department of Internal Medicine, Inje University College of Medicine, Goyang, Republic of Korea
2Department of Pathology, Inje University College of Medicine, Goyang, Republic of Korea

Correspondence should be addressed to Se Won Oh

Received 18 February 2017; Revised 5 May 2017; Accepted 23 May 2017; Published 19 June 2017

Academic Editor: Anja Haase-Fielitz

Copyright © 2017 Seo Hee Yang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Multiple wasp stings can induce multiple organ dysfunction by toxic reactions. However, acute pancreatitis is a rare manifestation in wasp sting injury. A 74-year-old woman visited the emergency department by anaphylactic shock because of multiple wasp stings. Acute kidney injury, rhabdomyolysis, hepatotoxicity, and coagulopathy were developed next day. Serum amylase and lipase were elevated and an abdominal computed tomography revealed an acute pancreatitis. Urine output was recovered after 16 days of oliguria (below 500 ml/day). Her kidney, liver, and pancreas injury gradually improved after sessions of renal replacement therapy.