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A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis
Acute kidney injury (AKI) is generally associated with increased morbidity and mortality and is even more devastating in patients with comorbidities. Although AKI due to multiple bee stings is well established in the literature, it is still a rare entity with complex pathophysiologic mechanisms. The...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9127946/ https://www.ncbi.nlm.nih.gov/pubmed/35619680 http://dx.doi.org/10.1093/omcr/omac026 |
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author | Waziri, Bala Alhaji, Umar I Oduwale, Mubaraq A Umar, Halima Isah Abdulmalik, Aliyu M |
author_facet | Waziri, Bala Alhaji, Umar I Oduwale, Mubaraq A Umar, Halima Isah Abdulmalik, Aliyu M |
author_sort | Waziri, Bala |
collection | PubMed |
description | Acute kidney injury (AKI) is generally associated with increased morbidity and mortality and is even more devastating in patients with comorbidities. Although AKI due to multiple bee stings is well established in the literature, it is still a rare entity with complex pathophysiologic mechanisms. The most commonly reported histological findings in AKI due to bee stings is acute tubular necrosis (ATN), with a few studies attributing it to acute interstitial nephritis (AIN), whereas the concurrence of both ATN and AIN is rarely reported. We hereby present a 50-year-old known Type 2 diabetes mellitus patient with a prior normal renal function, who developed AKI following multiple stings from >1000 bees. He had a kidney biopsy on account of non-recovery of his kidney function despite being on intermittent hemodialysis that showed combined features of ATN and AIN. He subsequently had a full recovery of his renal function following appropriate management. |
format | Online Article Text |
id | pubmed-9127946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91279462022-05-25 A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis Waziri, Bala Alhaji, Umar I Oduwale, Mubaraq A Umar, Halima Isah Abdulmalik, Aliyu M Oxf Med Case Reports Case Report Acute kidney injury (AKI) is generally associated with increased morbidity and mortality and is even more devastating in patients with comorbidities. Although AKI due to multiple bee stings is well established in the literature, it is still a rare entity with complex pathophysiologic mechanisms. The most commonly reported histological findings in AKI due to bee stings is acute tubular necrosis (ATN), with a few studies attributing it to acute interstitial nephritis (AIN), whereas the concurrence of both ATN and AIN is rarely reported. We hereby present a 50-year-old known Type 2 diabetes mellitus patient with a prior normal renal function, who developed AKI following multiple stings from >1000 bees. He had a kidney biopsy on account of non-recovery of his kidney function despite being on intermittent hemodialysis that showed combined features of ATN and AIN. He subsequently had a full recovery of his renal function following appropriate management. Oxford University Press 2022-05-23 /pmc/articles/PMC9127946/ /pubmed/35619680 http://dx.doi.org/10.1093/omcr/omac026 Text en © The Author(s) 2022. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Waziri, Bala Alhaji, Umar I Oduwale, Mubaraq A Umar, Halima Isah Abdulmalik, Aliyu M A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title | A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title_full | A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title_fullStr | A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title_full_unstemmed | A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title_short | A rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
title_sort | rare concurrence: bee venom associated acute tubular necrosis and acute interstitial nephritis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9127946/ https://www.ncbi.nlm.nih.gov/pubmed/35619680 http://dx.doi.org/10.1093/omcr/omac026 |
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