Two children (11 years old and 3 years old) who bited by hornet with more 50 bites, were admitted in severe condition. Children had severe dysfunction of liver and kidney and 4-5 days of anuria. After unsuccessful treatment internally, peritonial dialysis was performed continously in 6-8 days, 10-12 hours daily. Children were saved and discharged normally
Peritoneal Dialysis ; Child ; Wasps

We presented a case of wasp sting of 42 year old, farmer who got stung on the cornea directly. At the time of first examination, the patient had visual acuity of 0.02 in the right eye. Slit lamp examination revealed corneal epithelial desquamation and vesicle, striate keratitis, diffuse stromal edema and fine keratic precipitates on the corneal endothelium. The iris was depigmented and atrophic, and pupil was mydriatic and nonreactive. The lens was opaque at the center of anterior caspsule and fundus was not visualized. 4 months later, the corneal lesion was slightly improved. Clinical findings of iris and lens still unchanged.
Adult ; Bites and Stings* ; Cornea ; Edema ; Endothelium, Corneal ; Humans ; Iris ; Keratitis ; Pupil ; Visual Acuity ; Wasps*

A 23 years old private first class solider was admitted to the K.T.H. Eye Clinic with chief oemplaints plaints of visual disturbance, ocular pain and epiphora (OD) due to Hornet Sting on Oct. 23, 1969. He was stinged by the Hornet Sting on the right ocular region during his walleing training in the green field on Aug. 14, 1969. On his first visit, the affected right eye revealed the following ocular signs; 1) Diffuse stromal opacity of the cornea. 2) Loss of corneal sensitivity. 3) Mydriasis. 4) Cataract. 5) Increased ocular tension.
Bites and Stings* ; Cataract ; Cornea ; Humans ; Intraocular Pressure ; Lacrimal Apparatus Diseases ; Mydriasis ; Wasps* ; Young Adult

A 23 years old private first class solider was admitted to the K.T.H. Eye Clinic with chief oemplaints plaints of visual disturbance, ocular pain and epiphora (OD) due to Hornet Sting on Oct. 23, 1969. He was stinged by the Hornet Sting on the right ocular region during his walleing training in the green field on Aug. 14, 1969. On his first visit, the affected right eye revealed the following ocular signs; 1) Diffuse stromal opacity of the cornea. 2) Loss of corneal sensitivity. 3) Mydriasis. 4) Cataract. 5) Increased ocular tension.
Bites and Stings* ; Cataract ; Cornea ; Humans ; Intraocular Pressure ; Lacrimal Apparatus Diseases ; Mydriasis ; Wasps* ; Young Adult

A 13 years old boy visited the clinic on 19 October 1946. He was bited by the hornet on the right ocular region when he was playing in the mountain on 18 September 1949. On his first visit, the eye revealed the following ocular sings in the affected eye; (1) Blepharoptosis. (2) Diffuse stromal opacity of the cornea. (3) Dullness of Corneal sensitivity. (4) Mydriasis. (5) Increase of ocular tension. (6) Cataract.
Adolescent ; Bites and Stings* ; Blepharoptosis ; Cataract ; Cornea ; Humans ; Intraocular Pressure ; Male ; Mydriasis ; Wasps*

PURPOSE: In the present study, the prognosis of ocular injury caused by a wasp sting was evaluated in two cases: Case 1 was treated by anterior chamber irrigation and Case 2 was simultaneously treated by anterior chamber irrigation and vitrectomy. CASE SUMMARY: Both patients had unilateral damage and complained of severe eye pain and blurred vision. Severe corneal edema, conjunctival injection, marked anterior chamber inflammatory reaction and the wasp sting through the cornea at the anterior chamber were observed in both cases. In Case 1, anterior chamber irrigation was performed, however, corneal edema was not recovered. Six months after the wasp sting, phthisis was observed. In Case 2, anterior chamber irrigation and vitrectomy were simultaneously performed, corneal edema decreased and epithelial healing occurred. Four months after the wasp sting, the eyeball was stable, but there was no wave on the electroretinogram. CONCLUSIONS: Unlike the ocular damage resulting from a bee sting, the ocular damage from a wasp sting causes severe toxic reactions and results in poor prognosis. Aggressive treatment including vitrectomy is necessary shortly after wasp sting injury to save both the vision and eyeball.
Anterior Chamber ; Bees ; Bites and Stings* ; Cornea ; Corneal Edema ; Eye Pain ; Humans ; Prognosis* ; Uveitis ; Vitrectomy ; Wasps*

Aged ; Anaphylaxis ; etiology ; Animals ; Female ; Humans ; Insect Bites and Stings ; complications ; Myocardial Infarction ; etiology ; Wasps

We reported a case of multiple organ dysfunction syndrome (MODS) following about 300 wasp stings. The diagnosis was based on autopsy findings of acute pulmonary edema, acute kidney injury, hepatic and cardiac dysfunction, and cerebral edema. MODS is a life-threatening complication, and should be considered a possibility after multiple wasp stings. Our autopsy helped to establish the cause of unexpected death due to wasp stings and to elucidate a possible mechanism of MODS.
Adult ; Animals ; Fatal Outcome ; Female ; Humans ; Insect Bites and Stings ; complications ; Multiple Organ Failure ; etiology ; Wasps

BACKGROUND: Patients may receive negative results from a specific IgE (sIgE) test such as the ImmunoCAP (CAP) despite a documented history of systemic reaction to a Hymenoptera sting. Thus, further testing may be required using another serological method or venom skin prick tests to confirm allergy diagnosis and correct species. OBJECTIVE: To evaluate the sensitivity and the specificity of CAP and IMMULITE 3gAllergy (IMMULITE) for detecting sIgE to Paper wasp (WA) and Yellow Jacket (YJ) venoms using patient clinical history as the comparator. METHODS: Sera from 70 participants with a history of systemic reactions (SR) to WA and/or YJ stings were tested using CAP and IMMULITE. Fifty participants from this group had negative results on CAP. To assess specificity, sera from 71 participants who had never experienced either a WA or YJ sting were tested using CAP and IMMULITE. Fifty participants from this group tested positive using CAP. RESULTS: In participants with a history of systemic reaction to a Hymenoptera sting, yet who tested negative for WA and/or YJ sIgE according to CAP, the positivity rate according to IMMULITE was 20-42% using 0.10 IUA/mL as the limit of detection (LoD), per the manufacturer's specification. When the LoD for CAP (0.35 IUA/mL) was applied to the IMMULITE results, positivity according to IMMULITE was 14-26%. Overall, sensitivity, specificity, and agreement with SR were greater for IMMULITE than for CAP. For YJ: sensitivity (IMMULITE:CAP), 42.8%:28.5%; specificity, 53.5%:39.4%; agreement, 48.2%:34%. For WA, sensitivity (IMMULITE:CAP), 58.6%:28.5%; specificity, 49.3%:47.8%; agreement, 43.9%:38.3%. CONCLUSION: The IMMULITE performed well for detecting sIgE to Hymenoptera venom
Bites and Stings ; Diagnosis ; Humans ; Hymenoptera ; Hypersensitivity ; Immunoglobulin E ; Limit of Detection ; Methods ; Sensitivity and Specificity ; Skin ; Venoms ; Wasps

Anaphylaxis usually develop immediately after wasp sting, but may develop even after few days later. Neurological complications after stings are uncommon, although several cases have been reported involving central and/or peripheral nervous system. Although wasp sting-induced encephalitis has been rarely reported, all reported cases showed mental change and severe neurological deterioration. Herein, we report an atypical case who showed biphasic anaphylaxis and delayed-onset cerebellar ataxia following a wasp sting, characterized by mild cerebellar ataxia and excellent response to corticosteroids.
Adrenal Cortex Hormones ; Anaphylaxis ; Bites and Stings ; Cerebellar Ataxia ; Encephalitis ; Peripheral Nervous System ; Wasps