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Acute renal failure following wasp sting in children

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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.

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References

  1. Bilo BM, Rueff F, Mosbech H et al (2005) Diagnosis of Hymenoptera venom allergy. Allergy 60:1339–1349

    Article  PubMed  CAS  Google Scholar 

  2. Chai PT, Quan TL, Lam TTN (2006) Acute renal failure due to hornet stings. Y Hoc TP Ho Chi Minh 10:376–380

    Google Scholar 

  3. Chao YW, Yang AH, Ng YY et al (2004) Acute interstitial nephritis and pigmented tubulopathy in a patient after wasp stings. Am J Kidney Dis 43:e15–19

    Article  PubMed  Google Scholar 

  4. Chugh KS, Sharma BK, Singhal PC (1976) Acute renal failure following hornet stings. J Trop Med Hyg 79:42–44

    PubMed  CAS  Google 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 45:45–50

    Google Scholar 

  6. Day JM (1962) Death due to cerebral infarction after wasp stings. Arch Neurol 7:184–186

    PubMed  CAS  Google Scholar 

  7. D’Cruz S, Chauhan S, Singh R et al (2008) Wasp sting associated with type 1 renal tubular acidosis. Nephrol Dial Transplant 23:1754–1755

    Article  PubMed  Google Scholar 

  8. Franca FO, Benvenuti LA, Fan HW et al (1994) Severe and fatal mass attacks by ‘killer’ bees (Africanized honey bees—Apis mellifera scutellata) in Brazil: clinicopathological studies with measurement of serum venom concentrations. Q J Med 87:269–282

    PubMed  CAS  Google Scholar 

  9. Humblet Y, Sonnet J, van Ypersele de SC (1982) Bee stings and acute tubular necrosis. Nephron 31:187–188

    Article  PubMed  CAS  Google Scholar 

  10. Mejia G, Arbelaez M, Henao JE et al (1986) Acute renal failure due to multiple stings by Africanized bees. Ann Intern Med 104:210–211

    PubMed  CAS  Google Scholar 

  11. Monzon C, Miles J (1980) Hemolytic anemia following a wasp sting. J Pediatr 96:1039–1040

    Article  PubMed  CAS  Google Scholar 

  12. Munoz-Arizpe R, Valencia-Espinoza L, Velasquez-Jones L et al (1992) Africanized bee stings and pathogenesis of acute renal failure. Nephron 61:478

    Article  PubMed  CAS  Google Scholar 

  13. Nace L, Bauer P, Lelarge P et al (1992) Multiple European wasp stings and acute renal failure. Nephron 61:477

    Article  PubMed  CAS  Google Scholar 

  14. Sakhuja V, Bhalla A, Pereira BJ et al (1988) Acute renal failure following multiple hornet stings. Nephron 49:319–321

    Article  PubMed  CAS  Google Scholar 

  15. Sharmila RR, Chetan G, Narayanan P et al (2007) Multiple organ dysfunction syndrome following single wasp sting. Indian J Pediatr 74:1111–1112

    Article  PubMed  Google Scholar 

  16. Shilkin KB, Chen BT, Khoo OT (1972) Rhabdomyolysis caused by hornet venom. Br Med J 1:156–157

    Article  PubMed  CAS  Google Scholar 

  17. Sitprija V, Boonpucknavig V (1972) Renal failure and myonecrosis following wasp-stings. Lancet 1:749–750

    Article  PubMed  CAS  Google Scholar 

  18. Tan KH (1966) Fatal haemolysis from wasp and hornet sting. Singapore Med J 7:122–126

    Google Scholar 

  19. Thiruventhiran T, Goh BL, Leong CL et al (1999) Acute renal failure following multiple wasp stings. Nephrol Dial Transplant 14:214–217

    Article  PubMed  CAS  Google Scholar 

  20. Vachvanichsanong P, Dissaneewate P, Mitarnun W (1997) Non-fatal acute renal failure due to wasp stings in children. Pediatr Nephrol 11:734–736

    Article  PubMed  CAS  Google Scholar 

  21. Vikrant S, Pandey D, Machhan P et al (2005) Wasp envenomation-induced acute renal failure: a report of three cases. Nephrology (Carlton) 10:548–552

    Article  Google Scholar 

  22. Weizman Z, Mussafi H, Ishay JS et al (1985) Multiple hornet stings with features of Reye’s syndrome. Gastroenterology 89:1407–1410

    PubMed  CAS  Google Scholar 

  23. Zhang R, Meleg-Smith S, Batuman V (2001) Acute tubulointerstitial nephritis after wasp stings. Am J Kidney Dis 38:E33

    Article  PubMed  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110, Thailand

    Prayong Vachvanichsanong & Pornsak Dissaneewate

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  1. Prayong Vachvanichsanong
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  2. Pornsak Dissaneewate
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Correspondence to Prayong Vachvanichsanong.

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Vachvanichsanong, P., Dissaneewate, P. Acute renal failure following wasp sting in children. Eur J Pediatr 168, 991–994 (2009). https://doi.org/10.1007/s00431-008-0909-5

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  • DOI: https://doi.org/10.1007/s00431-008-0909-5

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