title: A case report of acute renal failure associated with bee pollen contained in nutritional supplements.
abstract: We report a case of renal failure associated with the ingestion of bee pollen containing nutritional supplement. A 49-year-old male patient who had been ingesting a nutritional supplement for more than five months had breathing difficulties, anuria, exceptional weight gain (20 kg) due to systemic edema, and loss of appetite. A renal biopsy confirmed interstitial nephritis with the presence of eosinophils, which is suggestive of drug-induced acute renal failure. The nutritional supplement was ceased and hemodialysis begun. The patient's condition improved after several hemodialysis sessions, which were then stopped. Current information regarding the adverse effects of bee pollen is not very robust, therefore potential damage should be kept in mind before ingesting nutritional supplements in which it is contained. This report serves as an important reminder to the public as well as healthcare providers of the potential of renal failure related to nutritional supplements.
authors.affiliation: Internal Medicine and Kidney Dialysis, Sanshi Group Hikari Clinic, Isesaki, Japan.
authors.forename: Tsuchida
authors.initials: T
authors.lastname: Akiyasu
authors.forename: Bishnuhari
authors.initials: B
authors.lastname: Paudyal
authors.forename: Pramila
authors.initials: P
authors.lastname: Paudyal
authors.forename: Matsumoto
authors.initials: M
authors.lastname: Kumiko
authors.forename: Ueki
authors.initials: U
authors.lastname: Kazue
authors.forename: Naruse
authors.initials: N
authors.lastname: Takuji
authors.forename: Kuroiwa
authors.initials: K
authors.lastname: Takashi
authors.forename: Nojima
authors.initials: N
authors.lastname: Yoshihisa
authors.forename: Komai
authors.initials: K
authors.lastname: Minoru
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000818:Animals; D001002:Anuria / Q000209:etiology; D001516:Bees; D019587:Dietary Supplements / Q000009:adverse effects*; D004487:Edema / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011058:Pollen / Q000009:adverse effects*; D006435:Renal Dialysis / Q000379:methods; D006255:Rhinitis, Allergic, Seasonal / Q000150:complications*; D015430:Weight Gain