2011
DOI: 10.1590/s1678-91992011000100015
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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… Show more

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Cited by 4 publications
(4 citation statements)
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References 6 publications
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“…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.…”
Section: Casementioning
confidence: 73%
“…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.…”
Section: Casementioning
confidence: 73%
“…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.…”
Section: Discussionmentioning
confidence: 99%
“…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%.…”
Section: Discussionmentioning
confidence: 99%
“…PLA2 causes massive leakage of lysosomal enzymes out of cells by attacking the stability of cell membranes and provoking visceral injury to the pancreas and other tissues [ 13 ]. In reports of patients with acute pancreatitis following wasp stings, the prognoses predicted fatal outcomes [ 10 , 11 ]. A previous report showed that renal replacement therapy improved the prognosis of patients that have multiple wasp sting injuries [ 5 , 15 ].…”
Section: Discussionmentioning
confidence: 99%