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Multiple hornet (Vespa orientalis) stings with fatal outcome in a child
Author(s) -
KORMAN S.H.,
JABBOUR S.,
HARARI M. D.
Publication year - 1990
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1990.tb01073.x
Subject(s) - medicine , rhabdomyolysis , coagulopathy , peritoneal dialysis , envenomation , haemolysis , methemoglobinemia , encephalopathy , venom , immunology , anesthesia , ecology , biology
A case of multiple hornet stings is described with a rapidly fatal course due to the combination of massive haemolysis, coagulopathy, rhabdomyolysis, hyperkalaemia, acute renal failure, encephalopathy, hepatotoxicity and hyperglycaemia. These features of systemic envenomation can all be attributed to the toxic properties of Oriental hornet venom described in In vitro and in vivo experimental studies. Greater awareness of these features, aggressive treatment of hyperkalaemia and early institution of treatments such as peritoneal dialysis and plasma exchange may prevent fatalities in such cases.