Peer-reviewed veterinary case report
Dog with vomiting and jaundice after paper wasp stings
By Lee, Jeong-Min et al.·Published in Frontiers in veterinary science·2025·Korea Animal Medical Center, South Korea·View original on PubMed →
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Original publication title: Case Report: Multi organ dysfunction in a dog following massive paper wasp () envenomation.
- Species:
- dog
Plain-English summary
A 2-year-old male Yorkshire Terrier was brought to the vet after being stung multiple times by paper wasps three days earlier. The dog showed serious symptoms like vomiting, lethargy, jaundice, and not urinating, along with severe blood test results indicating kidney and liver damage. The vet treated him with medications like epinephrine and glucocorticoids, along with fluids, but his condition worsened, leading to the need for advanced kidney support. Unfortunately, the dog suffered a cardiac arrest two days after arriving at the clinic. This case highlights the severe effects of paper wasp stings in dogs.
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Abstract
Paper wasp () envenomation is an emerging public threat in Asian countries, but its clinical manifestations are limited in veterinary medicine. A 2-year-old male Yorkshire Terrier was evaluated for symptoms including vomiting, melena, and anuria, and upon presentation, exhibited lethargy and signs of jaundice. The dog had a history of being stung multiple times by paper wasps () 3 days prior to admission. On blood examination, anemia, severe azotemia, hyperbilirubinemia, and significant elevation of creatine kinase were noted. Treatment was initiated with epinephrine, glucocorticoids, antihistamines, and fluid therapy. Despite these interventions, the condition worsened, necessitating the initiation of continuous renal replacement therapy. However, the dog subsequently developed bradycardia and hypotension, leading to cardiac arrest 48 h after presentation. This is the first case report describing the clinical manifestation of dogs envenomated by paper wasps (). Massive paper wasp envenomation can cause multiple organ lesions, including renal, hepatic, and gastrointestinal damage.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40134764/