Cutaneous hemorrhage or necrosis findings after Vespa mandarinia (wasp) stings may predict the occurrence of multiple organ injury: A case report and review of literature*

  title={Cutaneous hemorrhage or necrosis findings after Vespa mandarinia (wasp) stings may predict the occurrence of multiple organ injury: A case report and review of literature*},
  author={Youichi Yanagawa and Kentarou Morita and Takao Sugiura and Yoshiaki Okada},
  journal={Clinical Toxicology},
  pages={803 - 807}
Data sources. We report one case and analyzed 15 Japanese cases concerning multiple organ failure induced by wasp stings. Data Extraction. Thirteen of 15 cases were associated with skin hemorrhage or necrosis after wasp stings. The mean number of stings (± standard error) in the patients who died (59 ± 12) was significantly greater than that in those who survived (28 ± 4, p=0.01). Conclusion. The occurrence of skin hemorrhage or necrosis after wasp stings is extremely rare and multiple organ… 

Clinical manifestations of wasp stings: a case report and a review of literature

Wasp envenomation can result in multi-organ injury and attention should be paid in doing further research and establishing evidence-based treatment practices.

Soft tissue calcifications secondary to Hymenoptera stings: a potential prognostic CT imaging sign in pediatric patients

It is confirmed that soft tissue calcifications detected on CT imaging following multiple Hymenoptera stings in pediatric patients may be a potential prognostic indicator of more severe complications and poorer outcomes.

Comparison of Clinical Manifestations, Treatments, and Outcomes between Vespidae Sting and Formicidae Sting Patients in the Emergency Department in Taiwan

Comparisons of clinical characteristics of Formicidae sting patients with those of the most serious and common group, Vespidae sting Patients, in an emergency department (ED) in Taiwan found that Formic family sting patients had more complications and higher rates of admission, especially with anaphylactic reaction.

MODS and Enterobacter-related cellulitis following multiple wasp stings -

The case of a 75-year-old lady with multiple wasp stings who developed rhabdomyolysis, renal failure, hepatitis, and cellulitis and improved with antibiotics and multiple sessions of hemodialysis is reported.

Unusual Reactions to Hymenoptera Stings: What Should we Keep in Mind?

Patients who have experienced various complications with unknown or nonallergic mechanisms should be informed about the importance of epinephrine’s use and additional measures on future sting avoidance.

Acute interstitial nephritis, toxic hepatitis and toxic myocarditis following multiple Asian giant hornet stings in Shaanxi Province, China

This study provided a good opportunity for recognizing the effect of Asian giant hornet stings and evaluating this serious public health event.

An Envenoming Syndrome from Massive Vespa Stings Induces Multiple Organ Failure

A case presenting a rare vespid venom-induced multiple organ failure with systemic coagulopathy after massive Vespa attack is described.

Clinical effects and factors associated with adverse clinical outcomes of hymenopteran stings treated in a Thai Poison Centre: a retrospective cross-sectional study

Adverse clinical outcomes in hymenopteran stings were not uncommon among cases inquiring to a national Thai poison centre, and urticaria, wheezing, red urine, wasp sting and sting number > 10 were significantly associated with adverse clinical outcomes.

Wasp bite in a referral hospital in Nepal.

Timely dialysis in established acute renal failure and steroid in suspects of interstitial nephritis improves survival and their effects on outcomes in the form of death, duration of hospitalization, number of dialysis sessions and time to resolution of oliguria are analyzed.



Acute interstitial nephritis and pigmented tubulopathy in a patient after wasp stings.

This case report is the first case of a patient developing this type of injury after wasp stings, and early use of steroid therapy may hasten renal recovery by preventing the development of interstitial fibrosis.

Wasp envenomation‐induced acute renal failure: A report of three cases (Case Report)

One patients who developed acute renal failure after multiple wasp stings (Vespa magnifica) died of massive gastrointestinal bleeding while the remaining two recovered completely.

Acute renal failure and dermal necrosis due to bee stings: report of a case in a child.

A child who was stung by over 1,000 bees and developed acute renal failure and extensive scalp necrosis is reported.

Acute renal failure following hornet stings.

Intravascular haemolysis due toHaemolytic properties of the hornet venom was considered to be chiefly responsible for the renal lesions in this patient.

Severe rhabdomyolysis and acute renal failure due to multiple wasp stings.

  • Young Ok KimS. Yoon B. Bang
  • Medicine, Biology
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2003
A 63-year-old farmer presented with facial oedema and lower extremity weakness after 50–60 wasp stings 2 days previously and had acute renal failure, rhabdomyolysis and hepatic dysfunction, but there was no evidence of haemolysis.

Acute renal failure following massive attack by Africanized bee stings

A case of rhabdomyolysis and hemolysis with consequent ARF which developed after about 800 bee stings is presented, and the patient recovered completely after peritoneal dialysis.

Skin and Soft Tissue Necrosis Following Hymenoptera Sting

Two extremely rare cases of extensive skin and soft tissue necrosis following hymenoptera stings are presented and skin grafting following surgical debridement is an adequate and practical treatment modality for such cases.

Renal failure and death after multiple stings in Papua New Guinea: Ecology, prevention and management of attacks by vespid wasps (for editorial comment, see page 610)

  • P. Barss
  • Medicine
    The Medical journal of Australia
  • 1989
The ecology of vespids in Asia and the Pacific is reviewed and guide‐lines for the prevention of wasp attacks are outlined, including appropriate clothing, and the recognition, avoidance and selective destruction of nests.

Mass envenomations by honey bees and wasps.

Despite different venom composition in the two insect groups, both may cause systemic damage and involve hemolysis, rhabdomyolysis and acute renal failure and victim death may occur due to renal failure or cardiac complications.

Non-fatal acute renal failure due to wasp stings in children

Although there is no specific treatment or antivenom, dialysis and supportive care have proved to be successful in two children who developed acute renal failure after multiple wasp stings.