title: Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings.
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 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.
authors.affiliation: Department of Internal medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India. amansharma74@yahoo.com
authors.forename: Aman
authors.initials: A
authors.lastname: Sharma
authors.forename: Ajay
authors.initials: A
authors.lastname: Wanchu
authors.forename: V
authors.initials: V
authors.lastname: Mahesha
authors.forename: V
authors.initials: V
authors.lastname: Sakhuja
authors.forename: Pradeep
authors.initials: P
authors.lastname: Bambery
authors.forename: Surjit
authors.initials: S
authors.lastname: Singh
mesh_terms: 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
chemical_list: D013256:Steroids