A 3 year old baby with wasp stings-induced multiorgan dysfunction

Abstract

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 3 year old healthy female baby had been stung with a swarm of wasps on her entire body while passing a coconut tree containing wasp nest at Chakoria, Cox’s Bazar. She developed severe pain and itching at the site of stings and swelling of the body within minutes. Immediately she was seen by a local physician and was treated with the injection of hydrocortisone and pheniramine maleate. On the following day, she gradually developed yellowish tint of the whole body (Figure 1), followed by passage of reddish scanty urine. For these reasons, she was referred to Chittagong Medical College and Hospital and was treated with injection cefotaxime, flucloxacillin, hydrocortisone and dopamine.</p>

Mass wasp envenomation in a 7‐year‐old girl with multi‐organ involvement

“…Adrenaline did not form part of the management plan for this boy 8 . Another case report about a 3‐year‐old girl stung by a swarm of wasps (specific species not documented) in Bangladesh that presented with severe pain, pruritus and generalised body oedema also did not receive adrenaline 6 . This child was given intravenous hydrocortisone and pheniramine.…”

“…analgesia and antihistamines) and minimising further organ damage. Hyperhydration aims to prevent volume depletion, tubular obstruction and aciduria 6 ; dialysis may be required if there is a delay in appropriate hydration and/or overt renal failure ensues.…”

“…5 Our patient developed significant rhabdomyolysis, but this did not lead to renal impairment (Table 1). The renal compromise does not develop rapidly 6,7 and given that it is likely to occur for one in five patients, inpatient monitoring is appropriate. The patient in our case received intramuscular followed by intravenous adrenaline.…”

“…8 Another case report about a 3-year-old girl stung by a swarm of wasps (specific species not documented) in Bangladesh that presented with severe pain, pruritus and generalised body oedema also did not receive adrenaline. 6 This child was given intravenous hydrocortisone and pheniramine. The family of our patient has since obtained an adrenaline autoinjector.…”