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      Minimal Change Glomerulonephritis following a Wasp Sting

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          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.

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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.

                Author and article information

                Am J Nephrol
                American Journal of Nephrology
                S. Karger AG
                December 2001
                28 December 2001
                : 21
                : 6
                : 486-489
                Departments of aMedicine and bPathology, Louisiana State University Health Sciences Center, Shreveport, La., USA
                46653 Am J Nephrol 2001;21:486–489
                © 2001 S. Karger AG, Basel

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                Page count
                Figures: 2, Tables: 3, References: 21, Pages: 4
                Self URI (application/pdf):
                Case Report

                Cardiovascular Medicine, Nephrology

                Nephrotic syndrome, Wasp sting, Glomerulonephritis


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