Stroke and kidney failure due to wasp attack, can it?

Yuwono's mitro was collecting banana leaves when thousands of wasons lodged in a two-metre-tall star-bellied tree attacking him on Thursday afternoon, March 22. He tried to run but still could not shy away from the insect siege of the thousands. At that, Mitro did not know that there were wasp houses around where he was doing. The people of Tens, Lawu village, Nguter district had a bruising wound on the face, neck, hands, and back. The body also felt hot and trembling. The family had to bring Mitro to the village midwives but the condition did not improve. The man from Sukoharjo was finally unhelped. He died of being bitten by a wasp. As RRI reported, Team Damkar Satpol PP Regency of Sukoharjo has handled 250 wasp cases from January to December in 2018. This is done following the many reports from the community to handle the insect attack. While on site, nests are found to be an average of the size of a human head or more and are generally found in trees or roofs of houses. Still according to the RRI, there are six people who died from a wasp attack in Sukoharjo. Dozens of other citizens must be hospitalized. Muktiali was a victim of the last wasp sting that died on Wednesday (12/12/2018). At that time, he intended to expel a herd of wasds nested on the second floor of his house. READ ALSO: Pesticides that threaten bees and we are all the effects of the Tawon Tawon attack, which in English is called Wasp, is an animal that is related to bees (bee). They both entered the Hymenoptera with ants as well as sawflies. According to National Geographic, the wasp differs from the bees especially from the physical characteristics, namely the pointed lower abdomen and narrow waist between the chest-stomach called petiole. In addition, they are more aggressive and easily feel threatened against movement. Wasp can also sting many times and indirectly die like a bee. Not all wasp has the ability to line up. National Geographic explains that only female insects have a sting. For those who live in groups, they are used as a means to defend themselves. Meanwhile, the uncolonies Wasp wears a sting to hunt for food. If the wasp is human, the immune system will attack the proteins contained in the insect can. According to Kevin T. Fritzgerald, et al. in "Hymenoptera Sting" (2006), the protein compounds are allergens or allergic. The response that arises afterwards is swelling and pain in certain areas that can then expand. If the victim has IgE-type antibodies then it is potentially a severe and life-threatening allergic reaction named anaphylaxis. Also read: Feeding insects to overcome the National Center for Biotechnology Information (NCBI) food crisis says that a mild response from anaphylaxis can be a sense of itching, dizziness, and nausea. People who suffer from allergies also feel weak and have trouble swallowing. But, allergies can cause respiratory problems, decreased blood pressure, loss of consciousness, and heart attacks. This reaction usually occurs moments after a person is stung, can recover if treated, but appears again within eight hours. In addition to anaphylaxis, a complication of stroke is experienced also by male 44 year old Ohio who is stated by a wasp at the foot. Mild reactions such as rash and itching were initially felt by workers in the construction area. But, for a long time he showed the symptoms of a person exposed to stroke: difficulty speaking, paralyzed on one side of the body, and have a face shape that "hang down". Ashish Kulhari, et al. in "Ischemic Stroke After Wasp Sting" (2016) explained that there are three mechanisms related to stings of wasps that can cause Stroke. First, the insect poison contains compounds that cause blood vessels to narrow. In addition, some substances are also prothrombotic which makes blood clot. These two conditions, according to Kulhari, et al, can equally provoke stroke
They then explained that the sting of the Wasp also led to an irregular heartbeat (atrial fibrillation). A person experiencing this is at risk of stroke because the condition caused the blood to be unpumped to the whole body well. Walresults, blobs are easily formed and cause strokes when walking towards the brain. On the other hand, Kulhari, et al explained a severe allergic reaction because the wasp stings make blood pressure down. When a person has very low blood pressure (hypotension) then the blood flowing in the vessels in the brain is not enough, causing a stroke. Related to the case of the man above, the first cause is the blood vessels narrowed by the wasp. READ ALSO: Queen bee syndrome: When the offensive woman against her neighbor besides stroke, the wasp shock can also effect the kidneys. According to Sanjay Vikran and Anupam Parashar in "Two Cases of Acute Kidney Injury Due to Multiple Wasp Sting" (2017), poison wasps can cause Accute Kidney Injury (AKI). Further, they said the AKI emerged due to the combination of disseminated hemolysis, rhabdomyolysis, shock, and toxic effects in blood vessels. Intravascular hemolysis is interpreted as abnormal deterioration of red blood cells or erythrocytes that occur in the blood vessels. Meanwhile, rhabdomyolysis refers to the condition where a person's skeletal muscle tissue is damaged due to the death of muscle fibers and the discharge of fiber content in the blood. The content of the fiber is a myoglobin formed from amino acids and polyferrin. Myoglobin is a protein that serves as a storage of oxygen in muscles. If the excess blood of myoglobin, the kidney works increasingly severe. As a result, patients with rhabdomyolysis experienced AKI or acute renal failure. According to WebMD, Rhabdomyolysis can appear due to insect bites or snakes. In addition, these conditions can arise due to lightning strikes, third level burns, durable muscle compression, or accidents. Sanjay and Anumpam say that the case of an AKI due to wasp stings is rare. Based on their studies, AKI is experienced by the victims of the wasp as much as 20 to 200 times. According to K. Ito, et al in "Rhabdomyolysis due to Multiply Wasp Stings" (2012), the poison of wasps contains components of active amines (serotonin and histamine substances), kinin, and histamine that cause harmful systemic reactions. Such responses include hemolysis, rhabdomyolysis, and renal failure.

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