Autopsy Findings and Histopathological Corroboration in A Case of Death due to Hornet Bite
DOI:
https://doi.org/10.48165/Keywords:
Hornet bite, Fatal, Histopathological corroboration, Allergy, InflammationAbstract
We present a rare case of death due to hornet bite in an adult 64 years old patient who died within 6 hours of admission. There were bites on multiple sites and histopathology of Kidney showed acute tubular necrosis. Liver shows fatty changes periportal fibrosis and portal inflammation. Lungs show intra-alveolar exudation, alveolar wall destruction and inflammatory infiltrates. Heart showed deposition of lipofuschin and brain showed focal oedema with dilatation of vessels. These accidents can occur in places of cohabitation of hornets with humans. People who are allergic to wasp venom are also allergic to hornet stings. In severe cases, allergic individuals may go into anaphylactic shock and die unless treated promptly. Clinical criteria for fatal cases can be formulated from this case and especially susceptible individuals like elderly with co morbid conditions and children should be treated early and extensively to avoid fatal complications.
Downloads
References
Habermann E. Bee and wasp venoms. Science 1972, 177:314- 322.
Frankland AW, Lessof MH. Allergy to Bee stings: A Review. J Royal Soc Med 1980, 73:807-810.
Abuelo JG. Renal failure caused by chemicals, foods, plants, animal venoms and misuse of drugs: An Overview. Arch Intern Med 1990, 150:505-510.
Bousquet J, Huchard G, Michel FB. Toxic reactions induced byhymenoptera venom. Ann Allergy 1984, 52:371-374.
Sakhuja V, Bhalla A, Pereira BJ, Kapoor MM, Bhusnurmath SR, Chugh KS. Acute Renal Failure following multiple hornet stings. Nephron 1988, 49:319-321.
Chug KS, Sharma BK, Singhal PC. Acute renal failure following hornet stings. J Trop Med Hygn. 1976, 79:42-44
Humblet Y, Sonnet J. Bee Stings and Acute Tubular Necrosis. Nephron 1982, 31:187-189.
Zhang R, Meleg-Smith S, Batuman V. Acute tubulo-interstitial nephritis after wasp stings. Am. J Kidney Dis 2001, 38:33. 9. Jonas W, Shingar M. Severe hepatic and renal damage following wasp stings. Dapin Refuiim (Folia Medica) 1964, 22:353-356 10. Glaser M. A fatal case after hornet stings and Benadril medication. Harefuah 1956, 50:175-176.
Levine HD. Acute Myocardial Infarction following wasp stings. Am. Heart J 1976, 91:365-374.
Mejia G, Arbelaez M, Henao JE, Suss AA, Arango JL. Acute Renal Failure due to multiple stings by Africanized bees. Ann Intern Med 1986, 104:210-211.
Nace L, Bauer P, Lelarge P, Bollaert PE, Larcan A, Lambert H. Multiple European wasp stings and acute renal failure. Nephron 1992, 61:477.
Vikrant S, Pandey D, Machhan P, Gupta D, Kaushal SS, Grover N. Wasp envenomation-induced acute renal failure: a report of three cases. Nephrology 2005, 10:548-52.
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:e15-19.
Singh Y, Joshi SC, Saxena SR, Kalil M. Acute renal failure: A fatal complication following multiple hornet stings. Int J Health Allied Sci. 2014; 3:56-9
Kularatne SA, Gawaramamana IB, de Silva PH. Severe multi organ dysfunction following multiple wasp (Vespa affinis) stings. Ceylon Med J 2003; 48:146-7
Aman Sharma, Ajay Wanchu, V Mahesha, V Sakhuja, Pradeep Bambery, Surjit Singh. Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings. BMC Nephrol. 2006; 7: 18
