Journal of Emergency Practice and Trauma

Wasp stings (Vespa affinis) induced acute kidney injury following rhabdomyolysis in a 25-year-old woman.

Document Type : Case Report

Authors

Parash Ullah 1
Alamgir Chowdhury 2
Ishrat Tahsin Isha 1
Sultan Mahmood 1
Fazle Rabbi Chowdhury 1
Mohammad Zeesan-ul- Abir 3
Aziz Al Manna 3
Muhammad Ismail Patwary 1

1 Department of Medicine, Sylhet M.A.G Osmani Medical College, Sylhet, Bangladesh

2 Department of Nephrology, Sylhet M.A.G Osmani Medical College, Sylhet, Bangladesh

3 Sylhet M.A.G Osmani Medical College, Sylhet, Bangladesh.

https://doi.org/10.15171/jept.2016.08
Abstract
 Wasp sting is a relatively common arthropod assault. This usually results in pain and mild allergic reactions, but sometimes may cause severe systemic reaction and multiorgan dysfunction including rhabdomyolysis, hemolysis, coagulopathy, hepatic, renal and cardiac complications. Along with several other pathomechanisms, rhabdomyolysis is a distinguished cause of acute kidney injury (AKI) in patients with wasp sting. We herein report a case in which the patient developed rhabdomyolysis followed by AKI due to multiple wasp stings. The offending wasp was brought to the hospital and the species was confirmed by a zoologist (Vespa affinis).

Keywords

Acute kidney injury
Rhabdomyolysis
Wasp venom
Subjects
1.Thiruventhiran T, Goh BL, Leong CL, Cheah PL, Looi LM, Tan SY. Acute renal failure following multiple wasp stings. Nephrol Dial Transplant 1999; 14(1): 214 -7.
2.Kim YO, Yoon SA, Kim KJ, Lee BO, Kim BS, Chang YS, et al. Severe rhabdomyolysis and acute renal failure due to multiple wasp stings. Nephrol Dial Transplant 2003; 18(6): 1235.
3.Bhatta N, Singh R, Sharma S, Sinnha A, Raja S. Acute renal failure following multiple wasp stings. Pediatr Nephrol 2005; 20(12): 1809-10.
4.Diaz JH. Hymenopterid bites, stings, allergic reactions, and the impact of hurricanes on hymenopterid-inflicted injuries. J La State Med Soc 2007; 159 (3): 149-57.
5.Paudel B, Paudel K. A study of wasp bites in a tertiary hospital of western Nepal. Nepal Med Coll J 2009; 11(1): 52-6.
6.Zhang L, Young Y, Tang Y, Zhao Y, Cao Y, Su B, et al. Recovery from AKI following multiple wasp sting: a case series. Clin J Am Soc Nephrol 2013; 8(11): 1850-6.
7.Chowdhury FR, Bari MS, Shafi AM, Ruhan AM, Hossain ME, Chowdhury S, et al. Acute kidney injury following Rhabdomyolysis due to multiple wasp stings (Vespa affinis). Asia Pac J Med Toxicol 2014; 3: 41-3.
8.Bresolin NL, Carvalho LC, Goes EC, Fernandes R, Barotto AM. Acute renal failure following massive attack by Africanized bee stings. Pediatr Nephrol 2002; 17(8): 625-27.
9.Islam F, Taimur SD, Kabir CM. Bee envenomation induced acute renal failure in an 8 years old child. Ibrahim Med Coll J 2011; 5(1): 34-6.
10.Gunasekera WT, Mudduwa L, Lekamwasam S. Acute pigmented tubulopathy and interstitial nephritis following wasp sting. Galle Med J 2008; 13(1):55-6.
 
Journal of Emergency Practice and Trauma
Volume 2, Issue 2
July 2016
Pages 55-57

  • Receive Date 23 May 2015
  • Revise Date 30 May 2015
  • Accept Date 09 June 2015

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