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Wasp stings with multisystem dysfunction.

Shanto Pramanik1, Sushmita Banerjee

  • 1Department of Pediatrics, Calcutta Medical Research Institute, 7/2 Diamond Harbour Road, Kolkata, India.

Indian Pediatrics
|November 14, 2007
PubMed
Summary
This summary is machine-generated.

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A severe wasp sting envenomation in an 18-month-old child led to multiple organ failures. The child survived this extreme case, highlighting the potential severity of Hymenoptera stings.

Area of Science:

  • Entomology
  • Toxicology
  • Pediatrics

Background:

  • The insect order Hymenoptera, encompassing bees, hornets, and wasps, are known for their venomous stings.
  • While typically causing localized reactions, severe systemic effects are rare, with anaphylaxis being the most common severe outcome.

Observation:

  • An 18-month-old child experienced an unusually severe envenomation following multiple wasp stings.
  • The child presented with a complex clinical picture including encephalopathy, hypertension, coagulopathy, intravascular hemolysis, and hepatic and renal failure.

Findings:

  • Despite the severity of the envenomation and multi-organ involvement, the child survived.
  • This case demonstrates a rare but possible extreme systemic reaction to Hymenoptera stings in pediatric patients.

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Implications:

  • This case underscores the importance of recognizing severe systemic reactions beyond anaphylaxis in Hymenoptera envenomation.
  • It highlights the potential for life-threatening complications, including multi-organ failure, even in young children.
  • Further research into the mechanisms of severe Hymenoptera venom toxicity and effective management strategies is warranted.