Acute renal failure following wasp sting in children
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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.
KeywordsAcute renal failure Bee sting Hemolysis Hornet sting Liver failure Rhabdomyolysis Wasp sting
- 2.Chai PT, Quan TL, Lam TTN (2006) Acute renal failure due to hornet stings. Y Hoc TP Ho Chi Minh 10:376–380Google Scholar
- 5.Daher EF, da Silva Junior GB, Bezerra GP et al (2003) Acute renal failure after massive honeybee stings. Rev Inst Med Trop Sao Paulo 45:45–50Google Scholar
- 18.Tan KH (1966) Fatal haemolysis from wasp and hornet sting. Singapore Med J 7:122–126Google Scholar