Use of Ketamine for Refractory Wheezing in an Infant.

Ketamine has bronchodilator properties and is used for severe bronchospasm in adults and children with asthma. Here, we report successful use of ketamine in a young infant with bronchospasm.

Unusual fatal multiple-organ dysfunction and pancreatitis induced by a single wasp sting

Acute onset of multiple organ dysfunction syndrome (MODS) is a well-known complication following multiple wasp stings. However, MODS after a single wasp sting has been rarely reported in children and acute pancreatitis have probably never been observed before. Herein we describe the case of a 12-year-old boy who had urticaria and abdominal pain after a single wasp sting. The child gradually developed MODS while his abdominal complaints were worsening. Despite aggressive supportive management, the child did not survive. Afterward, the cause of the acute abdomen was finally diagnosed as acute pancreatitis. Both MODS and pancreatitis following a single wasp sting are very unusual. Thus, although pancreatitis is rarely manifested, it should be suspected after a wasp sting if there are predominant abdominal symptoms.(AU)