Anaphylactic Shock Due to Wasp Stings

Made Adikosha Pranata ^[5] | Putu Janu Eka S.

Abstract: Anaphylaxis is the most serious manifestation of an immediate allergic reaction and the most common emergency event in allergology. Hymenoptera venom allergy ranks among the top three causes of anaphylaxis worldwide, and approximately one?quarter of sting?induced reactions are classified as severe. Fatal sting reactions are exceedingly rare, but certain factors may entail a considerably higher risk. The occurrence of anaphylaxis has increased in recent years, and subsequently, there is a need to continue disseminating knowledge on the diagnosis and management, so every healthcare professional is prepared to deal with such emergencies. A case of a 64-year-old man has been reported with complaints of shortness of breath and weakness since 30 minutes after being stung by a wasp. On physical examination, it was found that the patient had a blood pressure drop of 80/60 mmHg, a pulse rate of 120 beats per minute, regular with insufficient volume and a respiratory rate of 24 times per minute. The diagnosis based on Samson's criteria is that the patient presents with a shock condition which is one of the three criteria, namely the patient comes with a decrease in blood pressure of more than 90 mmHg or a decrease of more than 30% of the previous blood pressure immediately after the patient is exposed to allergens without other causes of shock. The manifestations that appear on the organs are reactive transaminitis et causa and stress hyperglycemia with the management of anaphylactic shock is the administration of epinephrine 2 times, fluid resuscitation with infusion of 0.9% NaCl and given a hepatoprotector.

Keywords: anaphylactic shock, wasp stings, transaminitis, hyperglycemia

Edition: Volume 11 Issue 2, February 2022,

Pages: 899 - 902