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Kounis Syndrome and Multiorgan Failure Following Multiple Wasp Stings

Piratheepan Navaradnam1, Navaneethakrishnan Suganthan2,3, Thirunavukarasu Kumanan2

  • 1Faculty of Medicine, Teaching Hospital Jaffna, Jaffna, LKA.

Cureus
|May 27, 2021
PubMed

Wasp and bee stings are common in Sri Lanka, and systemic envenomation causes a spectrum of clinical manifestations that includes simple local allergic reaction to life-threatening multiple organ injury or failure. However, wasp toxin-induced acute myocardial infarction is very rare in the literature. Here, we describe a pregnant lady with mass wasp stings who developed toxin-induced acute myocardial infarction with multiorgan injury. The treating physician should anticipate the complications of massive envenomation following multiple wasp stings.

Keywords:
anaphylaxisdisseminated intravascular coagulationhepatitiskounis syndromemyocardial injuryrenal failurerhabdomyolysiswasp sting

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