title: Acute kidney injury due to acute cortical necrosis following a single wasp sting.
abstract: Acute kidney injury (AKI) can develop after multiple wasp or bee stings. The etiology is the acute tubular necrosis secondary to shock, pigment toxicity, interstitial nephritis, or direct nephrotoxicity of venom. We report a 40-year-old female who presented with oliguric AKI after a single wasp sting on her hand. Her history, examination, and investigations did not support any of the established causes of AKI in such settings. She did not improve with supportive management and dialysis, and kidney biopsy showed acute cortical necrosis (ACN). This is the first report of ACN after a single wasp sting.
authors.affiliation: Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Kumar
authors.forename: Ritambhra
authors.initials: R
authors.lastname: Nada
authors.forename: Sravan
authors.initials: S
authors.lastname: Kumar
authors.forename: Raja
authors.initials: R
authors.lastname: Ramachandran
authors.forename: Manish
authors.initials: M
authors.lastname: Rathi
authors.forename: Harbir S
authors.initials: HS
authors.lastname: Kohli
authors.forename: Vinay
authors.initials: V
authors.lastname: Sakhuja
authors.forename: Vivekanand
authors.initials: V
authors.lastname: Jha
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000818:Animals; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D007683:Kidney Tubular Necrosis, Acute / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D007684:Kidney Tubules / Q000648:ultrastructure; D008854:Microscopy, Electron; D006435:Renal Dialysis; D014862:Wasp Venoms / Q000506:poisoning*; D014863:Wasps
chemical_list: D014862:Wasp Venoms