Life-threatening wasp sting envenomation with multi-organ failure

Abstract

Wasp stings usually bring temporary discomfort and pain, but on occasion, they can cause serious infections and fatal allergic reactions. We report on a patient who experienced massive wasp stings and developed multiple organ failures, including acute kidney, hepatic failure, and circulatory collapse. He was treated with aggressive fluid resuscitation, an inotropic agent, an intravenous injection of steroids, broad-spectrum antibiotics, and haemodialysis. After intensive treatment, his liver function recovered one month later. Recovery of renal function was delayed, and the patient needed temporary regular haemodialysis. The patient’s renal and liver parameters were within normal limits in the initial stage after 24 hours his renal and liver parameters were deranged. The patient was immediately started on NAC infusion and emergency dialysis was started. A timely approach by our department saved the life of the patient and after the 8th day patient fully recovered, and he get back to his normal sedentary life. The patient was advised to follow up every week after discharge.