A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings
Disseminated intravascular coagulation (DIC) is a rare but severe complication of wasp envenoming, caused by systemic toxic effects. We report a case of a 50-year-old Sri Lankan man who sustained over 35 wasp stings, presenting with localised pain and swelling, along with systemic complications inc...
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| Format: | Article |
| Language: | English |
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Sri Lanka College of Internal Medicine
2025-08-01
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| Series: | Asian Journal of Internal Medicine |
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| Online Access: | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/283 |
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| author | G. Thangarajah P. Mayurathan |
| author_facet | G. Thangarajah P. Mayurathan |
| author_sort | G. Thangarajah |
| collection | DOAJ |
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Disseminated intravascular coagulation (DIC) is a rare but severe complication of wasp envenoming, caused by systemic toxic effects. We report a case of a 50-year-old Sri Lankan man who sustained over 35 wasp stings, presenting with localised pain and swelling, along with systemic complications including DIC, rhabdomyolysis, mild acute kidney injury and liver dysfunction, notably without anaphylactic shock or bleeding manifestations. The management involved systemic corticosteroids, antihistamines, aggressive hydration and supportive care. The patient fully recovered. Clinical and laboratory parameters normalised by day 14. This case underscores the importance of early recognition, timely supportive care, and close monitoring to mitigate severe systemic complications from wasp stings to achieve favourable outcomes.
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| format | Article |
| id | doaj-art-22751f3d3b9d46379eb1d852340b02a2 |
| institution | Kabale University |
| issn | 2827-7260 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Sri Lanka College of Internal Medicine |
| record_format | Article |
| series | Asian Journal of Internal Medicine |
| spelling | doaj-art-22751f3d3b9d46379eb1d852340b02a22025-08-20T03:37:20ZengSri Lanka College of Internal MedicineAsian Journal of Internal Medicine2827-72602025-08-014210.4038/ajim.v4i2.283A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stingsG. Thangarajah0P. Mayurathan1Teaching Hospital BatticaloaUniversity Medical Unit, Teaching Hospital Batticaloa Disseminated intravascular coagulation (DIC) is a rare but severe complication of wasp envenoming, caused by systemic toxic effects. We report a case of a 50-year-old Sri Lankan man who sustained over 35 wasp stings, presenting with localised pain and swelling, along with systemic complications including DIC, rhabdomyolysis, mild acute kidney injury and liver dysfunction, notably without anaphylactic shock or bleeding manifestations. The management involved systemic corticosteroids, antihistamines, aggressive hydration and supportive care. The patient fully recovered. Clinical and laboratory parameters normalised by day 14. This case underscores the importance of early recognition, timely supportive care, and close monitoring to mitigate severe systemic complications from wasp stings to achieve favourable outcomes. https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/283Acute kidney injuryDisseminated intravascular coagulationRhabdomyolysisWasp stings |
| spellingShingle | G. Thangarajah P. Mayurathan A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings Asian Journal of Internal Medicine Acute kidney injury Disseminated intravascular coagulation Rhabdomyolysis Wasp stings |
| title | A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| title_full | A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| title_fullStr | A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| title_full_unstemmed | A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| title_short | A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| title_sort | fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings |
| topic | Acute kidney injury Disseminated intravascular coagulation Rhabdomyolysis Wasp stings |
| url | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/283 |
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