Acute tubulointerstitial nephritis after wasp stings

被引：40

作者：

Zhang, RB

Meleg-Smith, S

Batuman, V

机构：

[1] VA Med Ctr, Dept Med, Nephrol Sect, New Orleans, LA USA

[2] VA Med Ctr, Dept Pathol, New Orleans, LA USA

[3] Tulane Univ, Med Ctr, New Orleans, LA USA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 2001年 / 38卷 / 06期

关键词：

allergic interstitial nephritis; hypersensitivity reaction; acute renal failure (ARF); hemodialysis (HD); steroids; bee stings;

D O I：

10.1053/ajkd.2001.29289

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old Caucasian man presented with acute renal failure after multiple wasp stings. The patient required dialysis support temporarily. Work-up failed to show rhabdomyolysis or hemolysis and a kidney biopsy revealed acute allergic interstitial nephritis. The patient's renal function recovered completely after a short course of steroid therapy. Acute renal failure after wasp stings is typically caused by acute tubular necrosis In the setting of hemolysis or rhabdomyolysis. Compared with previously reported cases of acute renal failure associated with bee stings, our patient is unique In that his renal failure was caused by a hypersensitivity reaction apparently to the wasp venom. (C) 2001 by the National Kidney Foundation, Inc.

引用

页码：art. no. / E33

页数：5

共 38 条

[1]

BARSS P, 1989, MED J AUSTRALIA, V151, P59

[2] DIRECT TUBULAR TOXICITY OF HYMENOPTERA VENOM [J].