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


METHODS
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.


CONCLUSIONS
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.
Sharma
Aman
A
Department of Internal medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India. amansharma74@yahoo.com
Wanchu
Ajay
A
Mahesha
V
V
Sakhuja
V
V
Bambery
Pradeep
P
Singh
Surjit
S
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000188:drug therapy* / Q000209:etiology*; D000293:Adolescent; D001733:Bites and Stings / Q000150:complications* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009395:Nephritis, Interstitial / Q000188:drug therapy* / Q000209:etiology*; D013256:Steroids / Q000627:therapeutic use*; D016896:Treatment Outcome
D013256:Steroids