title: Unusual case of acute renal failure following multiple wasp stings.
abstract: The wasp stings usually cause local reactions and rarely anaphylaxis. However the multiple wasp stings may cause multisystem involvement. We report a case of acute renal failure (ARF) following multiple wasp stings. A middle aged healthy gentleman presented with pain and swelling of the upper part of the body following multiple wasp stings. After 2 days, he developed progressive decrease in urine output with high colored urine. Physical examination revealed the edematous and tender affected part. On investigating, it was found to have sequential elevations in renal function tests. The markers of muscle injury were grossly elevated and liver enzymes were deranged. These findings suggest multisystem involvement predominantly ARF secondary to rhabdomyolysis. With the initiation of the intense hemodialysis, all the above parameters became normal. Timely intervention of multiple wasp stings causing ARF with multiorgan involvement by hemodialysis not only prevents mortality but also other complications.
authors.affiliation: Department of Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.
authors.forename: Niranjan M
authors.initials: NM
authors.lastname: Rachaiah
authors.forename: Lokesh A
authors.initials: LA
authors.lastname: Jayappagowda
authors.forename: Harsha B
authors.initials: HB
authors.lastname: Siddabyrappa
authors.forename: Venkatesh K
authors.initials: VK
authors.lastname: Bharath