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NDT Advance Access originally published online on January 5, 2008
Nephrology Dialysis Transplantation 2008 23(5):1754-1755; doi:10.1093/ndt/gfm855
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Wasp sting associated with type 1 renal tubular acidosis

Sanjay D’Cruz, Sandeep Chauhan, Ram Singh, Atul Sachdev and Sarabmeet Lehl

Department of Medicine, Government Medical College & Hospital, Chandigarh 160030, India

Correspondence and offprint requests to: Sanjay D’Cruz, Department of General Medicine, Government Medical College & Hospital, Chandigarh 160030, India. Tel: +91-172-2668687; Fax: +91-172-2608488; E-mail: sanjaydcruz@gmail.com

Keywords: quadriparesis; renal complication; wasp

The first 10% of the full text of this article appears below.

Wasp stings are a common day occurrence in tropical countries. Their venom contains a wide array of amines, peptides and enzymes, consisting of low molecular weight compounds such as serotonin, histamine, acetylcholine and several kinins that mediate direct toxic effects. Enzymes such as hyaluronidase and phospholipases allow the venom to spread. Generally, these stings cause local reactions that include immediate pain, wheal and flare reaction, which resolve within a few hours. Rarely, these reactions can cause systemic manifestations, organ dysfunction and even death. We describe one such extremely unusual presentation in which a . . . [Full Text of this Article]


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