벌 쏘임에 의해 발생한 다발성 장기 부전 1예

A fatal case of wasp sting in a cirrhotic patient

Bee stings result in diverse clinical manifestations from localized pain, rash to life-threatening systemic allergic reactions or toxic reactions. Systemic reactions present with IgE-mediated anaphylaxis while toxic reactions include skin necrosis, pancreatitis, acute renal failure, hemolysis or coagulopathy. We experienced a 75-year-old woman with underlying liver cirrhosis who presented with both systemic and toxic reactions from multiple bee stings. The patient presented with anaphylactic shock, acute lung injury, acute kidney injury, rhabdomyolysis, acute hepatitis, acute pancreatitis and disseminated intravascular coagulopathy. Here, we report a rare and serious case induced by bee sting with a review of the literature.