| [ Summary ] |
About 40 persons who suffer from wasp stings die every year in Japan. Although anaphylactic shock is well recognized as the cause of death, complications resulting in acute renal failure, due to rhabdomyolysis, occur less commonly. The pathome chanisms involved may include acute tubular necrosis occurred by toxic effects of insect venom, rhabdomyolysis and intravascular haemolysis. The therapies for acute renal failure are mass-transfusion and diuresis, if the above therapies are not effective, blood purification is needed. We report on a patient who suffered from multiple wasp stings and subsequently developed multiple organ failure, due to rhabdomyolysis and survived due to hemodialysis therapy. Cases of renal failure, due to insect stings, reported in Japan are reviewed and blood purification for multiple wasp stings is described. |