Toxic effects due to Hymenoptera venoms are not usually seen in man unless there have been many, usually hundreds of stings. Anaphylactic reactions are a commoner cause of death. Intravascular haemolysis, rhabdomyolysis, acute renal failure as toxic effects of hymenoptera bites are known. DIC in wasp sting is rare. A case of DIC following multiple wasp stings, is reported below

Keywords: Multiple wasp stings, Disseminated intravascular coagulation.

1. Warrel DA. Manson's Tropical Diseases. ELBS edition of nineteenth edition; 1987. Animal Poisons; pp. 886–889. 
2. Wallace JF. Disorders caused by venoms, bites and stings. In: Wilson JD, Braunwald E, Isselbnchor KJ, editors. Harrison's Principles of Internal Medicine. Twelfth edition. McGraw Hill Book; New York: 1991. pp. 2190–2191. 
3. Warrel DA. Injuries, envenoming, poisoning and allergic reactions caused by animals. In: Weatherall DJ, Ledingham JGG, Warrell DA, editors. Ox fords Textbook of  Oxford University Press; 1987. pp. 6.80–6.81. 
4. George P, Pawar B, Calton N, Mathew P. Wasp sting: an unusual fatal outcome. Saudi J Kidney Dis Transpl 2008; 19:969-72.
5. Chao SC, Lee YY. Acute rhabdomyolysis and intravascular hemolysis following extensive wasp stings. Int J Dermatol 1999; 38:135-7.

Dr Pradeep Sathya.K

Post Graduate, Department of General Medicine, Rajah Muthiah Medical College & Hospital, Annamalai University, Chidambaram, India – 608002