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Kinetics of Liver Markers in a Case of Bee Sting: A Case Report

S. Asmathulla*, Suganya Sribalaji, A.K. Badrinath, Rajarajeswari, Balakrishna Pai

A 50-year-old male came with complaints of bee sting with features of itching and burning sensation over the bite sites. Physical examination and laboratory results revealed presence of rhabdomyolysis, acute liver injury, and acute kidney injury and disseminated intravascular coagulation. Liver injury markers such as total bilirubin, Aspartate Aminotransferase (AST), Alanine Transaminase (ALT) started to rise from the day 1 upon reaching its peak on day 4 and returned back to normal on day 16. The patient started on antibiotics, steroids, glutathione, oral hypoglycaemic drugs and haemodialysis during the hospital stay and then the patient made a good recovery.