Cardiac Arrest Caused by Wasp Stings: A Case Report and Review of the Literature

Abstract

Anaphylactic reaction or shock is the primary cause of cardiac arrest from a wasp sting. In addition, massive wasp stings can also produce a lethal dose of venom in most adults. Herein, we describe a patient who with presented with cardiac arrest after approximately 30 wasp stings. He was treated with endotracheal intubation, epinephrine (1:1000), antihistamines, massive volume replacement and dopamine until vital signs stabilized. Nine hours later, he regained consciousness. Although the patient also experienced sepsis and upper gastrointestinal bleeding during hospitalization, he recovered after two weeks of antibiotics and antacids. Based on our observation, victims with wasp stings can be resuscitated successfully using aggressive and sustained advanced cardiac life support (ACLS) procedures without delay, even if they are in cardiac arrest on arrival. We hope this case experience may be of help in emergency practice in the management of cardiac arrest.