Acute renal failure following wasp sting in children

Vachvanichsanong, Prayong; Dissaneewate, Pornsak

doi:10.1007/s00431-008-0909-5

Cited by 26 publications

(19 citation statements)

References 20 publications

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“…The death rate in our series, 1/6, is relatively similar to the 25% mortality rate as reported in an analysis of 24 patients who were described in various series with multiple hymenoptera stings [15]. As expected, the five surviving patients followed an uneventful recovery after the stinging accident, with normalization of the laboratory findings [2,3,5,9,10,[14][15][16][17]20]. The etiology of acute kidney injury in patients with multiple hymenoptera stings is probably multifactorial.…”

Section: Discussionsupporting

confidence: 81%

Multiple hymenoptera stings in children: clinical and laboratory manifestations

Broides

Maimon

Landau³

et al. 2010

Eur J Pediatr

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Multiple hymenoptera stings are a cause of rhabdomyolysis, elevated liver enzymes, clotting abnormalities, kidney injury, and even death. However, the progression of the clinical and laboratory findings has been described mainly in sporadic case reports. We report the clinical and laboratory manifestations of multiple hymenoptera stings in six children who were hospitalized and referred for a nephrology evaluation and follow-up over a 12-year period. One patient succumbed 13 h after the stinging accident. In the five surviving patients, we found somewhat similar pattern of clinical and laboratory course: rhabdomyolysis with elevated liver enzymes are the earliest manifestations, followed by kidney injury and anemia. An asymptomatic phase of several days between the stinging accident and severe kidney injury can occur. There was a strong seasonal association, with all six events occurring in August or September. In children with multiple hymenoptera stings, a somewhat predictable clinical and laboratory course is expected and an initial laboratory evaluation is needed, and even in asymptomatic children, a repeated laboratory evaluation is highly recommended.

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Section: Discussionsupporting

confidence: 81%

Multiple hymenoptera stings in children: clinical and laboratory manifestations

Broides

Maimon

Landau³

et al. 2010

Eur J Pediatr

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“…The wasp venom contains several active substances, including mellitin, with hemolytic and vasoactive properties, histamine, hyaluronidase, apamin, phospholipase A 2 , and acid phosphatase. In addition to the direct toxic effects of wasp venom, the wasp sting may induce hypotension as part of an anaphylactoid reaction, intravascular hemolysis, and rhabdomyolysis, followed by acute renal failure, hepatic dysfunction, and respiratory and neurological manifestations 1,2 .…”

Section: Introductionmentioning

confidence: 99%

Successful Treatment of Multiple Organ Failure After Wasp Stings in an Elderly Patient

Wang

Zhou

et al. 2012

International Journal of Gerontology

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s u m m a r yAlthough all kinds of complication have been reported after wasp stings, multiple organ failure following wasp attacks is very rare. In the past, the mortality of patients with multiple organ failure treated by conventional therapy after wasp stings was very high. Here, we report on a 65-year-old individual who developed multiple organ failure following wasp stings. When the patient was admitted at our hospital, 3 days after he had been stung by the wasps, he was unconscious. He was suffering from acute renal failure, hepatic, respiratory, and circulatory failures, and intravascular hemolysis. In addition to conventional therapy, plasma exchange was applied twice and followed by continuous venovenous hemofiltration. In the end, this elderly patient made a complete recovery, with his renal function returning to normal.

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“…[12345] Among these reactions, strabismus is rare. Bee or tick stings have been reported to be associated with esotropia and abducens nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

“…[1234] A range of ocular reactions such as corneal edema, conjunctivitis, cataract, and optic neuritis have been reported after insect stings. [1] These reactions were attributed to direct trauma and potential toxic effects.…”

mentioning

confidence: 99%

Exotropia in a pediatric patient with rhabdomyolysis caused by an insect sting

Kim

2017

Indian J Ophthalmol

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Various ocular and systemic reactions have been associated with insect sting. However, insect stings have been rarely reported to cause exotropia and diplopia. We encountered exotropia in a 6-year-old child with rhabdomyolysis of the left lower extremities caused by an insect sting. Exotropia and diplopia developed within 1 day after the sting and improved completely 1 week after the onset of symptoms. Clinicians should be aware of the potential for the development of exotropia in patients with insect stings, which requires careful follow-up.

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Acute renal failure following wasp sting in children

Cited by 26 publications

References 20 publications

Multiple hymenoptera stings in children: clinical and laboratory manifestations

Multiple hymenoptera stings in children: clinical and laboratory manifestations

Successful Treatment of Multiple Organ Failure After Wasp Stings in an Elderly Patient

Exotropia in a pediatric patient with rhabdomyolysis caused by an insect sting

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