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      Minimal change glomerulonephritis following a wasp sting.

      American journal of nephrology
      Adult, Anti-Inflammatory Agents, therapeutic use, Glomerulonephritis, drug therapy, etiology, pathology, Humans, Insect Bites and Stings, Male, Prednisone, Wasp Venoms, adverse effects

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          Abstract

          We report the case of a young white male who developed the nephrotic syndrome after being stung by a wasp. A percutaneous renal biopsy was done revealing minimal change glomerulonephritis. The patient was treated with oral prednisone with resolution of proteinuria. Corticosteroids were gradually tapered, the patient did not experience a relapse, and remains in good health with normal renal function. Herein, we also include a review of the literature on wasp bite associated nephrotic syndrome in patients who underwent a renal biopsy. Copyright 2001 S. Karger AG, Basel

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          Dialysis or plasmapheresis for acute renal failure due to Africanized honeybee stings.

          M Beccari (1999)
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            Multiple African Honeybee Stings and Acute Renal Failure

            In 1956, the Brazilian government brought honeybees (Apis mellifera andansonii) from South Africa. A group of these bees crossed the Amazon and reached Venezuela where they have killed between 30 and 50 people in the last 4 years [1]. In 1993, we observed the first case of rhabdomyolysis, hepatic dysfunction and acute renal failure (ARF) following multiple stings by African bees (A. mellifera andansonii) in French Guiana.
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              Nephrotic Syndrome with Mesangial Proliferative Glomerulonephritis Induced by Multiple Wasp Stings

              We report the case of a young male who developed severe nephrotic syndrome within 2–3 weeks after being stung by 3 wasps. A percutaneous kidney biopsy specimen revealed mesangioproliferative glomerulonephritis with occasional subepithelial deposits suggestive of early membranous nephropathy. The patient was treated with oral prednisone 60 mg/day with no significant clinical response after 4 weeks, at which point he was started on oral cyclophosphamide, 100 mg/day, while the prednisone dose was tapered to 20 mg every other day over a 2-week period. Six months after initiation of cyclophosphamide, he still has severe nephrotic syndrome. We also briefly review the literature on Hymenoptera sting associated nephrotic syndrome.
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