Wasp Sting Case

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Anaphylactic shock due to multiple wasp sting - Case report Introduction- There are over 50 reported deaths per year due to insect stings in the U.S. The most common stinging insects are bees and wasps. Reactions to wasp stings are more common than those to bees. Sensitization to wasp venom can occur after a single sting. http://allergycases.blogspot.in/2005/06/venom-allergy-short-review.html Parasitic wasps are increasingly used in agricultural pest control as they prey mostly on pest insects and have little impact on crops. Norman F. Johnson, Charles A. Triplehorn. 2004. Borror's Introduction to the Study of Insects. 7th Edition Wasps build honeycomb nests in shrubs and under heaves of houses or barns. Nests are often found on window…show more content…
Koffler A, Friedler RM, Massry SG. Acute renal failure due to nontraumatic rhabdomyolysis. Ann Intern Med 1976; 85:23–28. Anaphylaxis is an extreme form of allergic reaction. It can cause swelling of the lips and tongue, breathing problems, collapse and loss of consciousness. Anaphylaxiscan cause death (7). http://www.patient.co.uk/health/anaphylaxis-leaflet. In our case we came to opinion that patient died due to anaphylaxis based on following features oedema of face, lips, tongue, laryngeal oedema, serum Ig E and C3a elevated levels, frothy mucous in the trachea and bronchi. The cause of death ascertained as anaphylactic shock due to multiple wasp sting. Vander linden PW et al reported the role of complement C3- a activation could be the first in-vitro variable which correlates with the severity of wasp-sting anaphylactic reactions. Richard S H Pumphrey, Ian S D Roberts first studied post mortem findings in all anaphylactic reactions and examined 56 cases of which 19 were due to wasp or bee venom and concluded that most common reported finding is non specific pulmonary oedema and congestion. Features suggesting anaphylaxis were noted in 100 % of cases in food allergies followed by 67% in wasp and bees venom.
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