Unusual fatal multiple-organ dysfunction and pancreatitis induced by a single wasp sting

Abstract

Acute onset of multiple organ dysfunction syndrome (MODS) is a well-known complication following multiple wasp stings. However, MODS after a single wasp sting has been rarely reported in children and acute pancreatitis have probably never been observed before. Herein we describe the case of a 12-year-old boy who had urticaria and abdominal pain after a single wasp sting. The child gradually developed MODS while his abdominal complaints were worsening. Despite aggressive supportive management, the child did not survive. Afterward, the cause of the acute abdomen was finally diagnosed as acute pancreatitis. Both MODS and pancreatitis following a single wasp sting are very unusual. Thus, although pancreatitis is rarely manifested, it should be suspected after a wasp sting if there are predominant abdominal symptoms.

Acute renal failure and/or rhabdomyolysis due to multiple bee stings: A retrospective study

“…Acute pancreatitis is reported with single wasp and multiple hornet stings. [2930] In our study, one patient (Case 6) had abdominal pain from last 7 days and her amylase and lipase levels were 165 IU/L (normal 30-100 U/L) and 150 IU/L (normal 145-216 U/L), respectively, which was 10 days after bee sting inoculation to the patient. No information on previous reports of serum amylase and lipase levels was found.…”

Renal and Hemorrhagic Complications Following Bee Sting Envenomation: A Case Report from the Hospital of Zinder

“…A hemorrhagic syndrome was observed 24 hours after admission in this patient. Acute renal involvement is often linked to the direct toxicity of the venom [3,14]. Hemostasis and coagulation disorders have been reported by Przybilla and Ruëff [9].…”

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

“…Typically, serious or fatal systemic toxin reactions occur in the setting of a large number of stings. However, fatal multi‐organ dysfunction has also been recorded secondary to a single wasp sting 3 . The most common severe organ dysfunction secondary to a systemic reaction is renal failure, which is largely caused by rhabdomyolysis and haemolysis.…”

“…However, fatal multi-organ dysfunction has also been recorded secondary to a single wasp sting. 3 The most common severe organ dysfunction secondary to a systemic reaction is renal failure, which is largely caused by rhabdomyolysis and haemolysis. Studies from Thailand and China indicate 16 and 21% of patients, respectively, develop acute renal failure, 4,5 and the rate of mortality from acute renal injury precipitated by multiple wasp stings is as high as 25%.…”