Wasp Sting-Induced Acute Kidney Injury – A Case Report

Abstract

A 22-year old male student presented with a 3 weeks history of multiple wasp stings and subsequent progressive generalized body swelling, reduction in urine output and passage of coke colored urine. At presentation, he had anasarca, jaundice but not pale. Admitting blood pressure was 160/90mmhg. Bedside urinalysis revealed protein (3+), blood (2+) and urobilinogen (3+). The admitting serum biochemistry showed markedly elevated urea of and creatinine. A diagnosis of Wasp-induced acute kidney injury most likely pigment nephropathy from intravascular haemolysis was made. The patient had 5 sessions of intermittent hemodialysis and made full clinical and renal recovery. This presentation highlights a rare case of acute kidney injury from multiple wasp stings.