Multi-organ dysfunction secondary to severe wasp envenomation

Ittyachen, Abraham M; Abdulla, Shanavas; Anwarsha, Rifzana Fathima; Kumar, Bhavya S.

doi:10.1186/s12245-015-0054-7

Cited by 15 publications

(17 citation statements)

References 21 publications

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“…Multi-organ dysfunction due to single wasp sting and massive wasp stings have been reported. 19,20 Mean duration of hospitalisation in our study was three days.…”

Section: Discussionmentioning

confidence: 81%

Clinical Profile of Hymenoptera Sting in a Tertiary Care Hospital in Himachal Pradesh

Himral¹

2018

jemds

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BACKGROUND Hymenoptera stings are common public health hazards worldwide. Clinical spectrum of venom allergy varies from local reaction to life-threatening and unusual delayed reaction which may be fatal. MATERIALS AND METHODS This retrospective study was done to assess the clinical profile and outcome of hymenoptera sting in a tertiary care hospital in Himachal Pradesh. 33 patients admitted in medicine ward were analysed. RESULTS Incidence of hymenoptera sting was more common among females (57.6%) as compared to males (42.4%). Majority of the wasp and bee stings were observed in the months of October to December (50%). Local inflammatory reactions were present in all the patients with wasp and bee sting. Most common complication was hepatitis (39.4%) followed by hypertension 27.3%) and acute renal injury (15.2%). Mortality rate in our study was 12.1%. Local reactions were mild and resolved spontaneously. CONCLUSION Wasp and bee stings result in mild reactions to life-threatening complications, which may be delayed in onset. Therefore, early anticipation of these complications by the treating physician is needed for the management of the patient.

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“…Multi-organ dysfunction due to single wasp sting and massive wasp stings have been reported. 19,20 Mean duration of hospitalisation in our study was three days.…”

Section: Discussionmentioning

confidence: 81%

Clinical Profile of Hymenoptera Sting in a Tertiary Care Hospital in Himachal Pradesh

Himral¹

2018

jemds

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“…Some studies reported the occurrence of ischemic stroke in association with hymenopteran stings, but most of these cases were associated with Vespidae stings [ 39 , 40 ]. Multiple organ dysfunction syndrome (MODS) is generally reported after multiple wasp stings, but it is less reported because of ant venom, unless the stings are extremely severe [ 41 ]. Our study had no cases of such stings, which may have been because the Formicidae group had less serious complications leading to required hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Manifestations, Treatments, and Outcomes between Vespidae Sting and Formicidae Sting Patients in the Emergency Department in Taiwan

Lin

Chiu

Chang

et al. 2020

IJERPH

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Background: Hymenopteran stings are the most common animal insult injury encountered in the emergency department. With increasing global spread of imported fire ants in recent decades, the rate of Formicidae assault has become a serious problem in many countries. Formicidae-associated injuries gradually increased in Taiwan in recent decades and became the second most common arthropod assault injury in our ED. The present study aimed at comparing the clinical characteristics of Formicidae sting patients with those of the most serious and common group, Vespidae sting patients, in an emergency department (ED) in Taiwan. Methods: This retrospective study included patients who were admitted between 2015 to 2018 to the ED in a local teaching hospital in Taiwan after a Vespidae or Formicidae sting. Cases with anaphylactic reaction were further compared. Results: We reviewed the records of 881 subjects (503 males, 378 females; mean age, 49.09 ± 17.62 years) who visited our emergency department due to Vespidae or Formicidae stings. A total of 538 (61.1%) were categorized into the Vespidae group, and 343 (38.9%) were sorted into the Formicidae group. The Formicidae group had a longer ED length of stay (79.15 ± 92.30 vs. 108.00 ± 96.50 min, p < 0.01), but the Vespidae group had more cases that required hospitalization (1.9% vs. 0.3%, p = 0.04). Antihistamines (76.8% vs. 80.2%, p < 0.01) were more frequently used in the Formicidae group, while analgesics were more frequently used in the Vespidae group (38.1% vs. 12.5%, p < 0.01). The Vespidae group had more local reactions, and the Formicidae group had more extreme, systemic, or anaphylactic allergic reactions. Creatine kinase was significantly higher in the Vespidae group with an anaphylactic reaction. Sting frequency in both groups exhibited the same positive associations with average temperature of the month and weekend days. Conclusion: Formicidae sting patients presented to the ED with higher rate allergic reactions and spent more time in the ED than Vespidae sting patients. However, Vespidae sting patients had more complications and higher rates of admission, especially with anaphylactic reaction. Laboratory data, especially creatine kinase data, were more valuable to check in Vespidae sting patients with an anaphylactic reaction in the ED. Both groups exhibited positive correlations with temperature and a higher rate on weekend days.

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“…(3). A series of cases with AKI and MOF as a result of multiple wasp stings have been reported in literature; however, the number of cases reported in Turkey is very low (2,3). Here, we present a case of a 7-year-old male patient who died within 2 days of developing MOF and shock resulting from multiple wasp stings.…”

Section: Introductionmentioning

confidence: 91%

“…Although clinical findings are associated with the number of wasp stings, the strength of the venom, and individual immunity, cases of AKI or MOF in response to a single wasp sting have been reported in the literature (2,3). The mortality rate of such patients with AKI is 25-50%…”

Section: Introductionmentioning

confidence: 99%

“…This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. (3). A series of cases with AKI and MOF as a result of multiple wasp stings have been reported in literature; however, the number of cases reported in Turkey is very low (2,3).…”

Section: Introductionmentioning

confidence: 99%

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