Wasp Stings with Multiple Organ Dysfunction in Children
Keywords:
Wasp stings, multi-organ failure,, multi organ dysfunction, acute renal injury, acute kidney injuryAbstract
Objective: Allergic reactions from wasp stings usually occur shortly after the stings. Serious and less common systemic mani- festations including multiple organ dysfunction can also occur at a later time.
Methods: Medical records of pediatric patients admitted because of wasp stings into the Faculty of Medicine Siriraj Hospital from 2000 to 2009 were reviewed.
Results: Nine cases were admitted because of systemic reactions from wasp stings. Most required only intravenous fluid and antihistamine. Two young children developed multiple organ dysfunction more than 24 hours after multiple stings. Both patients required artificial ventilation. The first patient received 20 days of renal replacement therapy and recovered completely. The second patient developed sepsis during peritoneal dialysis and died on the 34th day.
Conclusion: Clinicians should be aware that young children with multiple stings are at risk of multiple organ dysfunction. We suggest hospitalization for at least 48 hours to provide early detection of complications and management.
Downloads
Published
How to Cite
Issue
Section
License
Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:
- Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.