title: Acute renal failure following multiple wasp stings.
abstract: Wasp bite induced ATN from direct venom toxicity is very rare. We report two such cases. The first case was a 14 years old boy admitted with oliguria following multiple wasp stings. He had grossly deranged renal function requiring hemodialysis support. The other patient was a 24 years old man admitted with similar history and also required hemodialysis support. Renal biopsy in both cases was consistent with acute tubular necrosis without any casts or other changes, suggesting direct venom toxicity. Both the patients recovered completely after a period of few weeks, highlighting the importance of early detection and treatment of renal failure from wasp venom.
authors.affiliation: Department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad.
authors.forename: Ghias
authors.initials: G
authors.lastname: Butt
authors.affiliation: Department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad.
authors.forename: Kifayat
authors.initials: K
authors.lastname: Ullah
authors.affiliation: Department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad.
authors.forename: Kinza
authors.initials: K
authors.lastname: Kanwal
authors.affiliation: Department of Nephrology, Pakistan Institute of Medical Sciences, Islamabad.
authors.lastname: Mudassir
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000293:Adolescent; D000818:Animals; D001706:Biopsy; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D007677:Kidney Function Tests; D007683:Kidney Tubular Necrosis, Acute / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D016896:Treatment Outcome; D014862:Wasp Venoms / Q000506:poisoning*; D014863:Wasps; D055815:Young Adult
chemical_list: D014862:Wasp Venoms