| BRIEF RESEARCH ARTICLE |
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| Year : 2019 | Volume
: 63
| Issue : 2 | Page : 154-156 |
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Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India
Sanjay Vikrant1, Ajay Jaryal1, Anupam Parashar2
1 Professor and Head, Assistant Professor, Department of Nephrology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
2 Professor, Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
Correspondence Address:
Sanjay Vikrant
Department of Nephrology, Indira Gandhi Medical College, Shimla - 171 001, Himachal Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijph.IJPH_222_18
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Most deaths related to Hymenoptera are a result of immediate hypersensitivity reactions causing anaphylaxis to one or few stings. However, if the patient is exposed to a large quantity of the venom due to mass/multiple stings, massive envenomation can cause death in nonallergic individuals. Thirty-nine cases of acute kidney injury (AKI) who followed mass attacks by Hymenoptera were seen over 15 years, with a reference period between 2003 and 2017. AKI was severe; most (85%) of them required dialysis and one-third died. Mass attacks by Hymenoptera have become a serious public health problem in tropics. There is no antivenom, and treatment in such cases is supportive. Early hospitalization is vital to reduce morbidity and mortality.
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