Abstract

Dr. Sree Rekha S. R.*, Dr. Prasanth Prasad, Dr. Jarlin John, Dr. Sanjay Zachariah

ABSTRACT

Background: Wasp stings typically cause local allergic reactions, but mass envenomation can occasionally result in severe systemic complications. Rhabdomyolysis and acute kidney injury (AKI) are rare yet life-threatening sequelae of multiple wasp stings, with limited case reports in literature today. Case Presentation: We report the case of a 50-year-old woman with no prior comorbidities who presented with systemic symptoms following multiple wasp stings. Laboratory investigations revealed markedly elevated creatine phosphokinase (CPK) levels, progressive renal dysfunction and leukocytosis. Despite initial worsening renal function, the patient responded to conservative management including aggressive hydration, urine alkalinization, corticosteroids and antibiotics. Renal replacement therapy (RRT) was advised if further worsening. Her renal function gradually improved and she was discharged with stable parameters and continues to remain under follow-up. Conclusion: This case highlights that mass envenomation from wasps can cause rhabdomyolysis-induced AKI even in immunocompetent hosts and early recognition combined with timely supportive care can reverse renal dysfunction without dialysis. Clinicians should be alert to delayed systemic manifestations following multiple stings. In select patients, non-oliguric presentation, preserved hemodynamics and proactive monitoring may allow for full recovery without invasive intervention.