Acute pancreatitis and acute renal failure following multiple hornet stings

Abstract

Hymenoptera is a class of insects that sting in order to subdue their prey. Humans coming into accidental contact with these insects results in stings that may cause from mild local reaction like weal formation around the sting site to severe systemic reactions such as intravascular hemolysis, acute renal failure, pulmonary edema, cerebral edema, and rarely pancreatitis. We report here the clinical course of a patient who developed concurrent acute pancreatitis and pigment-induced acute renal failure after multiple hornet stings.

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.…”

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

“…PLA 2 is believed to play an important role in causing acute pancreatitis. Melittin in conjunction with PLA 2 can cause membrane disruption and can act on pancreatic acinar cells to induce acute pancreatitis (5). Acute pancreatitis in our case mimicked acute abdomen, prompting surgeons to perform laparotomy.…”

“…MODS usually occurs after multiple wasp stings and is rare after a single sting (1,2). Similarly, pancreatitis is very rare after wasp sting; only one case report on an adult patient could be found (5). In the current study, we share our experience of managing a case of unusual MODS and pancreatitis in a child after a single wasp sting.…”

“…Sharma et al (5), from the same city, reported pancreatitis in a 60-year-old man after multiple wasp stings. Pancreatitis in the present case occurred after a single wasp sting.…”

“…A wasp sting is a commonplace occurrence in tropical areas and sometimes may lead to serious complications including anaphylaxis, renal failure, multiple organ dysfunction syndrome (MODS) and various neurological manifestations (1)(2)(3)(4)(5)(6)(7). MODS usually occurs after multiple wasp stings and is rare after a single sting (1,2).…”