A Case of Multiple Wasp Stings Causing Multi-organ Dysfunction Syndrome
Nabin Basnet1, *, Binod Pantha2, Sanjeev Acharya1, Barsha Shrestha3, Rishi Kafle3
Identifiers and Pagination:Year: 2019
Issue: Suppl-1, M5
First Page: 49
Last Page: 52
Publisher Id: TOUNJ-12-49
Article History:Received Date: 11/02/2019
Revision Received Date: 24/05/2019
Acceptance Date: 30/05/2019
Electronic publication date: 31/07/2019
Collection year: 2019
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Wasp stings occur commonly and uncomplicated cases are generally managed at local health centers. Complicated cases are referred to tertiary hospitals for multi-specialty care. We report a case of a 30-year old gentleman from a remote center in Nepal who had multiple wasp stings and developed oligo-anuric acute kidney injury, liver failure, and rhabdomyolysis. He was promptly referred to our hospital after initial resuscitation. At our hospital, he was treated with intensive conventional supportive care and specific organ-supportive care including N-Acetylcysteine infusion and hemodialysis. With the treatment given, the general condition of the patient as well as liver function improved within the first week. However, the recovery of kidney function and urine output lagged behind. The patient showed signs of improvement in kidney function at the end of the third week and completely recovered by the 40th day of treatment.