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A fatal case of disseminated intravascular coagulation and multiple systemic complications following multiple wasp stings

Year: 2025

Type: article

Abstract: 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.

Source: Asian Journal of Internal Medicine

DOI: 10.4038/ajim.v4i2.283

Authors: G. Thangarajah, P. Mayurathan

Institution: Teaching Hospital Batticaloa

Language: English

Topic: Venomous Animal Envenomation and Studies

Subfield: Genetics

Field: Biochemistry, Genetics and Molecular Biology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413381173