Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings

Aman Sharma, Ajay Wanchu, V. Mahesha, V. Sakhuja, Pradeep Bambery, Surjit Singh

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Background: Hornet stings are generally associated with local and occasionally anaphylactic reactions. Rarely systemic complications like acute renal failure can occur following multiple stings. Renal failure is usually due to development of acute tubular necrosis as a result of intravascular haemolysis, rhabdomyolysis or shock. Rarely it can be following development of acute tubulointerstitial nephritis. Case presentation: We describe a young male, who was stung on face, head, shoulders and upper limbs by multiple hornets (Vespa orientalis). He developed acute renal failure as a result of acute tubulo-interstitial nephritis and responded to steroids. Conclusion: Rare causes of acute renal failure like tubulo-interstitial nephritis should be considered in a patient with persistent oliguria and azotemia following multiple hornet stings. Renal biopsy should be undertaken early, as institution of steroid therapy may help in recovery of renal function.

Original languageEnglish (US)
Article number18
JournalBMC Nephrology
Volume7
DOIs
StatePublished - Nov 21 2006

ASJC Scopus subject areas

  • Nephrology

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