ArticleTropical medicine and health2022
Clinical manifestations of wasp stings: a case report and a review of literature.
Article in Tropical medicine and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Development and validation of an early prediction model for bee-sting-induced acute kidney injury using machine learning.Renal failure · 2026Article
- Spinal Anesthesia Failure Following Wasp Envenomation: A Case Series of Two Patients.Clinical case reports · 2026Article
- From Sting to Strain: A Case Report of Wasp Sting-Induced Multiorgan Dysfunction Syndrome.Cureus · 2026Article
- Histopathological Spectrum of Acute Kidney Injury After Wasp Sting Envenomation.Kidney international reports · 2026Article
- Predictors of in-hospital mortality in patients with multiple wasp stings in southwest China.Frontiers in toxicology · 2026Article
- Single-Cell Transcriptomic Analysis Reveals Cell Heterogeneity and Altered Signaling Pathways in Jellyfish Sting Patients.Marine drugs · 2025Article
- Paraparesis and Paraesthesia Following A Black Ant Sting.European journal of case reports in internal medicine · 2025Article
- Necrosis as a reaction to a wasp sting: a case report.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025Article
- Case Report: Multi organ dysfunction in a dog following massive paper wasp (Frontiers in veterinary science · 2025Article
- Complement activation in wasp venom-induced acute kidney injury.Renal failure · 2024Article
- Diagnosis of human envenoming by terrestrial venomous animals: Routine, advances, and perspectives.Toxicon: X · 2024Article
- Isolated Acute Liver Injury Following Mass Envenomation by Wasps.ACG case reports journal · 2024Article
- A rare concurrence of acute tubular necrosis and chronic glomerular sclerosis in a patient with wasp stings.Heliyon · 2024Article
- Clinical complications in envenoming byFrontiers in immunology · 2024Review
- Bites and Stings: Exotic Causes of Stroke in Asia.Cerebrovascular diseases extra · 2024Review
- Wasp venom-induced acute kidney injury: current progress and prospects.Renal failure · 2023Review
- Natural toxins and One Health: a review.Science in One Health · 2022Review
- Hepatic Infarct: Uncommon Causes of an Uncommon Vascular Complication Revealed at Nontransplant Medical Autopsies.Journal of clinical and experimental hepatologyArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWasp stinging, a neglected tropical entity can have a myriad of local and systemic effects. We present a case of multi-organ injury following multiple wasp stings and a review of literature on the systemic manifestations of wasp stings. CASE PRESENTATION: A 48-year-old Sri Lankan male who suffered multiple wasp stings, developed an anaphylactic shock with respiratory failure, which was treated with adrenaline and mechanical ventilation. Within the next 2 days the patient developed acute fulminant hepatitis, stage III acute kidney injury, rhabdomyolysis, haemolysis and thrombocytopenia. The patient was treated in the intensive care unit with ionopressors and continuous renal replacement therapy (CRRT). Haemoadsorbant therapy was used in adjunct with CRRT. There was a gradual recovery of the organ functions over the 1st week. However, the patient succumbed to fungal sepsis on the 16th day despite treatment. We conducted a literature review to identify the various clinical manifestations of wasp stinging. Wasp venom contains enzymes, amines, peptides and other compounds. These proteins can cause type 1 hypersensitive reactions ranging from local skin irritation to anaphylactic shock. Furthermore, the toxins can cause direct organ injury or delayed hypersensitivity reactions. The commonly affected organs are the kidneys, liver, and muscles. The effect on the haematological system manifests as coagulopathy and/or cytopenia. The heart, nervous system, lungs, intestines and skin can be affected rarely. Treatment is mainly supportive.
conclusionIn conclusion, wasp envenomation can result in multi-organ injury and attention should be paid in doing further research and establishing evidence-based treatment practices.
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Registered trials
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