Original Paper

European Journal of Pediatrics

, 168:991

First online:

Acute renal failure following wasp sting in children

  • Prayong VachvanichsanongAffiliated withDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University Email author 
  • , Pornsak DissaneewateAffiliated withDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University

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Abstract

The medical records of patients admitted between 1985 and 2007 with wasp stings were retrospectively analyzed. Among the 45 children, seven developed acute renal failure. Classical clinical and laboratory data pointed to hemolysis and rhabdomyolysis as the underlying pathophysiology. All patients had hyponatremia and hyperkalemia as well as metabolic acidosis. Six patients had anemia. Five patients were oliguric for 9 to 15 days. Maximum serum creatinine was 4.0 to 11.9 mg/dl. Peritoneal dialysis was performed for 3 to 15 days. One patient died due to hyperkalemia, the remaining ones recovered completely. This paper wants to remind pediatricians to watch for acute renal failure in children with wasp stings.

Keywords

Acute renal failure Bee sting Hemolysis Hornet sting Liver failure Rhabdomyolysis Wasp sting