title: Wasp sting: an unusual fatal outcome.
abstract: Wasp stings are not uncommon especially in populations living in proximity of forested areas all over the world. Local manifestations following stings are common and un-usually life threatening anaphylaxis may occur, requiring prompt treatment. Multi organ failure and acute renal failure following wasp stings are rare and histological evaluation suggest acute tubular necrosis secondary to hemolysis, rhabdomyolysis and direct venom toxicity. A rare com-plication of a patient following multiple wasp stings with disseminated intravascular coagulation, acute renal failure and thrombotic microangiopathy is presented.
authors.affiliation: Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, India. pratishgeorge@gmail.com
authors.forename: Pratish
authors.initials: P
authors.lastname: George
authors.forename: Basant
authors.initials: B
authors.lastname: Pawar
authors.forename: Nalini
authors.initials: N
authors.lastname: Calton
authors.forename: Pradeep
authors.initials: P
authors.lastname: Mathew
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000818:Animals; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D017809:Fatal Outcome; D006461:Hemolysis; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D007678:Kidney Glomerulus / Q000098:blood supply; D008297:Male; D013927:Thrombosis / Q000209:etiology*; D014863:Wasps; D055815:Young Adult