Acute kidney injury due to multiple wasp stings: a case report

Main Article Content

Tahmina Khandkar
Amina Akter
Asaduzzaman Asaduzzaman
Ranjit Ranjan Roy
Golam Muinuddin


The skin is the most commonly affected organ. Wasp venom causes both local and systemic reactions, but acute kidney injury (AKI) is the most serious complication, with a 20% mortality rate. Acute kidney injury can occur from single or multiple stings. Diagnosis depends on history, clinical findings, and investigations. Treatment protocol is same as other causes of AKI, including dialysis, and prognosis is good with early treatment.

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How to Cite
Khandkar T, Akter A, Asaduzzaman A, Roy R, Muinuddin G. Acute kidney injury due to multiple wasp stings: a case report. PI [Internet]. 5Feb.2021 [cited 22Apr.2021];61(2):115-. Available from:
Case Report
Received 2019-10-11
Accepted 2021-01-26
Published 2021-02-05


1. Diaz JH. Recognition, management, and prevention of hymenopteran stings and allergic reactions in travelers. J Travel Med. 2009;16:357–64. Doi: 10.1111/j.1708-8305.2009.00316.x.
2. Thiruventhiran T, Goh BL, Leong CL, Cheah PL, Looi LM, Tan SY. Acute renal failure following multiple stings. Nephrol Dial Transplant. 1999;14:214-217. DOI: 10.1159/000504043.
3. Levine HD. Acute myocardial infarction following wasp sting. Report of two cases and critical survey of the literature. Am Heart J. 1976;91:365-74. DOI: 10.1016/s0002-8703(76)80222-0.
4. Neuman MG, Eshchar J, Cotariu D, Ishay JS, Bar-Nea L. Hepatotoxicity of hornet’s venom sac extract, after repeated in vivo and in vitro envenomation. Acta Pharmacol Toxicol (Copenh). 1983;53:314-319. DOI: 10.1111/j.1600-0773.1983.tb03428.x.
5. Sert M, Tetiker T, Paydas S. Rhabdomyolysis and acute renal failure due to honeybee stings as an uncommon cause. Nephron. 1993;65:647. DOI: 10.1159/000187584.
6. Sharma M, Das HJ, Barman AK, Mahanta PJ. Acute kidney injury due to multiple wasp stings. Saudi J Kidney Dis Transpl. 2017;1;28:196-198.
7. Diaz JH. Hymenopterid bites, stings, allergic reactions, and the impact of hurricanes on hymenopterid-inflicted injuries. J La State Med Soc. 2007;159:149-57. PMID: 17694935
8. Bresolin NL, Carvalho LC, Goes EC, Fernandes R, Barotto AM. Acute renal failure following massive attack by Africanized bee stings. Pediatr Nephrol. 2002;17:625-627. DOI: 10.1007/s00467-002-0888-0.
9. Mejía Vélez G. Acute renal failure due to multiple stings by Africanized bees. Report on 43 cases. Nefrología (English Edition). 2010;30:531-538.
10. Islam F, Taimur SDM, Kabir CMS. Bee envenomation induced acute renal failure in an 8 years old child. Ibrahim Med Coll J. 2011;5:34-36.
11. Atmaram VP, Mathew A, Kurian G, Unni VN. Acute renal failure following multiple wasp stings. Indian J Nephrol. 2005;15:30-32. doi: 10.4103/1947-2714.93380.
12. Deshpande PR, Farooq AK, Bairy M, Prabhu RA. Acute renal failure and/or rhabdomyolysis due to multiple bee stings: a retrospective study. N Am J Med Sci. 2013;5:235-9. DOI: 10.4103/1947-2714.109202.
13. Nandi M, Sarkar S. Acute kidney injury following multiple wasp stings. Pediatr Nephrol. 2012;27:2315-17. doi: 10.1007/s00467-012-2250-5.
14. Zhang R, Meleg-Smith S, Batuman V. Acute tubulointerstitial nephritis after wasp stings. Am J Kidney Dis. 2001;38:E33. doi: 10.1053/ajkd.2001.29289.
15. Sharma A, Wanchu A, Mahesha V, Sakhuja V, Bambery P, Singh S. Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings. BMC Nephrol. 2006;7:18. DOI: 10.1186/1471-2369-7-18.
16. Chao YW, Yang AH, Ng YY, Yang WC. Acute interstitial nephritis and pigmented tubulopathy in a patient after wasp stings. Am J Kidney Dis. 2004;43:e 15-19. DOI: 10.1053/j.ajkd.2003.10.025.
17. Ghosh JB, Roy M, Bala AK. Delayed onset interstitial nephritis following multiple wasp stings. Indian J Nephrol. 2009;19:71-73. DOI: 10.4103/0971-4065.53326.
18. Warrell DA. Venomous bites, stings and poisoning. Infect Dis Clin North Am. 2012;26:207-23. DOI: 10.1016/j.idc.2018.10.001.
19. Paudel B, Paudel K. A study of wasp bites in a tertiary hospital of western Nepal. Nepal Med Coll J. 2009;11:52-56. PMID: 19769240.