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From Sting to Strain: A Case Report of Wasp Sting-Induced Multiorgan Dysfunction Syndrome
Abin Thomas1, Avin Shaji John1, Vishnu C Unnikrishnan2
1Emergency Medicine, Amrita Institute of Medical Science, Kochi, IND.
None:
Wasp stings are benign, generally associated with localized pain and allergic reactions, but in rare cases, they may trigger life-threatening systemic toxicity, culminating in multiorgan dysfunction syndrome (MODS). We present the case of a 23-year old female who developed MODS following multiple wasp stings, manifesting with rhabdomyolysis, acute kidney injury (AKI), hepatic dysfunction, and necrotic skin lesions. Laboratory evaluation showcased markedly elevated creatine kinase (CK), liver enzymes, and renal parameters. She was managed with Adrenaline, corticosteroids, aggressive intravenous fluids, and supportive hepatorenal measures, leading to complete recovery within a month. This case serves as a reminder that rapid intervention and fast-paced multidisciplinary management can mean the difference between complete recovery and a fatal outcome.
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Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...