A Case of Death with Multiple Organ Failure Due to <i>Vespa mandarinia</i> Stings

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  • Morisaki Hitomi
    Department of Dermatology, Nagasaki Harbor Medical Center Department of Dermatology and Allergy, Nagasaki University Hospital
  • Higashi Erika
    Department of Dermatology, Nagasaki Harbor Medical Center
  • Takenaka Motoi
    Department of Dermatology and Allergy, Nagasaki University Hospital
  • Murota Hiroyuki
    Department of Dermatology and Allergy, Nagasaki University Hospital

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  • スズメバチ刺傷により多臓器不全に陥り死亡した1例
  • スズメバチ シショウ ニ ヨリ タゾウキ フゼン ニ オチイリ シボウ シタ 1レイ

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<p>A 68 years old male suffered from anaphylactic shock after getting stung more than 50 times by hornets (Vespa mandarinia) when he climbed a mountain. He was treated with adrenaline and methylprednisolone about one and a half hours later and rushed to our hospital by hospital-dispatched helicopter about three and a half hours after the attack. Systemic administration of adrenaline and corticosteroid resulted in his hemodynamic stability, and he referred to our dermatology clinic. His painfully lesional skin had erythema with subcutaneous hemorrhage. He suffered rapidly progressive rhabdomyolysis, liver damage, and renal failure, and then multiple organ failure with a rapid onset about fifteen hours after the attack. He was transferred to a Nagasaki university hospital, and treated with multidisciplinary therapy. Unfortunately, he died of multiple organ failure 36 hours after the hornet stings. In this case report, we would like to emphasize the importance of extensive systemic treatment for such cases of multiple bee stings. High serum creatine kinase levels may have potentially severe cinsequences.</p>

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