Multiple European Wasp Stings and Acute Renal Failure

Nace, L; Bauer, Philippe R.; Lelarge, Philippe; Bollaert, Pierre‐Édouard; Larcan, A; Lambert, H

doi:10.1159/000186974

Cited by 26 publications

(35 citation statements)

References 2 publications

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“…Following wasp stings, renal complications occur much less frequently than anaphylaxis, with ARF being the most common such complication. Acute tubular necrosis (ATN) following hemolysis due to wasp sting has been reported [4,5,8,10,[12][13][14][16][17][18][19]. Thiruventhiran et al [19] summarized 24 patients of ARF following wasp sting around the world from 1972-1998, finding a mortality rate of 25%.…”

Section: Discussionmentioning

confidence: 99%

Acute renal failure following wasp sting in children

Vachvanichsanong

Dissaneewate

2009

Eur J Pediatr

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The medical records of patients admitted between 1985 and 2007 with wasp stings were retrospectively analyzed. Among the 45 children, seven developed acute renal failure. Classical clinical and laboratory data pointed to hemolysis and rhabdomyolysis as the underlying pathophysiology. All patients had hyponatremia and hyperkalemia as well as metabolic acidosis. Six patients had anemia. Five patients were oliguric for 9 to 15 days. Maximum serum creatinine was 4.0 to 11.9 mg/dl. Peritoneal dialysis was performed for 3 to 15 days. One patient died due to hyperkalemia, the remaining ones recovered completely. This paper wants to remind pediatricians to watch for acute renal failure in children with wasp stings.

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Section: Discussionmentioning

confidence: 99%

Acute renal failure following wasp sting in children

Vachvanichsanong

Dissaneewate

2009

Eur J Pediatr

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“…Allergic manifestations to honeybee and wasp stings are well recognized, but more serious complications like intravascular hemolysis, rhabdomyolysis, thrombocytopenia, acute renal failure, liver impairment and myocardial infarction are less common 8,13,17,19 . Acute renal failure would occur due to toxic-ischemic-type mechanism as hypovolemia, myoglobinuria, hemoglobinuria, renal ischemia, or direct venom toxicity 4,12,18,20 .…”

Section: Introductionmentioning

confidence: 99%

“…Liver impairment has been described through post-mortem findings as centrilobular necrosis and pericholangitis 12 . The two reported cases presented increased levels of liver enzymes due to a liver dysfunction, even though part of serum AST elevation was caused by rhabdomyolysis.…”

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confidence: 99%

Acute renal failure after massive honeybee stings

Daher

Silva

Bezerra

et al. 2003

Rev. Inst. Med. trop. S. Paulo

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SUMMARYTwo clinical cases of patients who survived after numerous attacks of Africanized bees (600 and 1500 bee stings, respectively) are reported. Clinical manifestation was characterized by diffuse and widespread edema, a burning sensation in the skin, headache, weakness, dizziness, generalized paresthesia, somnolence and hypotension. Acute renal failure developed and was attributed to hypotension, intravascular hemolysis, myoglobinuria due to rhabdomyolysis and probably to direct toxic effect of the massive quantity of injected venom. They were treated with antihistaminic, corticosteroids and fluid infusion. One of them had severe acute renal failure and dialysis was required. No clinical complication was observed during hospital stay and complete renal function recovery was observed in both patients. In conclusion, acute renal failure after bee stings is probably due to pigment nephropathy associated with hypovolemia. Early recognition of this syndrome is crucial to the successful management of these patients.

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“…The earlier case reports of acute kidney injury without evidence of haemolysis and rhabdomyolysis were thought to be due to direct cytotoxic effects of different constituents of venom on nephrons but renal biopsies were not done to ascertain the diagnosis 10 . Subsequently there were many case series of acute kidney injury without evidence of shock, haemolysis or rhabdomyolysis which were found to be due to acute interstitial nephritis on renal biopsy 11,12 .…”

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confidence: 99%

Acute kidney injury due to multiple wasp stings in an eightyear- old child

Dhakal

Basnet

Shrestha

2014

J. Kathmandu Med. Coll.

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Wasp stings are not uncommon in Nepal. The manifestations of stings are usually benign and localised at the site of stings. However, susceptible individuals may present with multi-systemic and potentially fatal complications. We report here a child who developed acute kidney injury, nine days after multiple wasp stings. The renal function recovered with supportive management including two sessions of haemodialysis. This case report highlights that management of wasp stings should be done in consultation with centre which has facilities for dialysis.

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Multiple European Wasp Stings and Acute Renal Failure

Cited by 26 publications

References 2 publications

Acute renal failure following wasp sting in children

Acute renal failure following wasp sting in children

Acute renal failure after massive honeybee stings

Acute kidney injury due to multiple wasp stings in an eightyear- old child

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