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Updated: May 8, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
Acute renal failure following wasp sting
T Jesmin1, G Muinuddin, M M Hossain
1Dr Tahmina Jesmin, Resident, Paediatric Nephrology, Department of Paediatric Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh.
Wasp stings can cause severe multi-system illness, including acute kidney injury. This case highlights acute interstitial nephritis as a cause of renal failure following a wasp sting in a child.
Area of Science:
- Nephrology
- Toxicology
- Pediatrics
Background:
- Wasp stings are known to cause systemic effects, including kidney damage.
- Acute renal failure (ARF) is a potential complication, but the specific mechanisms are not always clear.
Observation:
- An 8-year-old boy presented with decreased urine output, swelling, and respiratory distress post-wasp sting.
- His condition worsened with rising creatinine levels, necessitating renal replacement therapy and corticosteroid treatment.
Findings:
- Kidney biopsy confirmed acute interstitial nephritis (AIN) as the cause of renal failure.
- This diagnosis clarifies a specific pathological pathway following wasp envenomation.
Implications:
- This case underscores the importance of considering AIN in pediatric patients with ARF after insect stings.
- Early recognition and treatment, including immunosuppression, may be crucial for renal recovery.
- Further research into the immunologic mechanisms of wasp venom-induced AIN is warranted.
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