Multi-organ dysfunction secondary to severe wasp envenomation.

Area of Science:

• Toxicology
• Allergy and Immunology
• Occupational Medicine

Background:

• Hymenoptera stings (wasps, bees, ants) affect a large portion of the population.
• Reactions range from mild local effects to severe systemic anaphylaxis.
• Adults may experience more severe clinical outcomes than children.

Purpose of the Study:

• To report a case of delayed multi-organ dysfunction following multiple wasp stings.
• To highlight occupational risks associated with Hymenoptera envenomation.
• To emphasize the importance of intensive management for severe envenomation.

Main Methods:

• Case report of a 32-year-old agricultural worker with multiple wasp stings.
• Clinical observation of delayed systemic reaction.
• Monitoring of patient recovery over six months.

Main Results:

• The patient experienced severe multi-organ dysfunction 48 hours post-sting, despite no initial anaphylaxis.
• Significant clinical improvement occurred within two weeks.
• Serum creatinine normalized after six months, indicating a prolonged recovery period.

Conclusions:

• Occupational Hymenoptera envenomation poses significant risks, including delayed, life-threatening complications.
• Intensive emergency care and management are vital for favorable outcomes in severe cases.
• This case underscores the potential for delayed reactions and prolonged recovery from wasp stings.