Nephrotic syndrome after insect sting: a case report

Nephrotic syndrome after insect sting: a case report

ABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years.

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Main Authors: Junqueira,Vânia, Donato,Beatriz, Teixeira,Catarina, Mascarenhas,Maria Isabel, Silva,Isabel Costa, Almeida,Edgar
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Nefrologia 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498
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spelling oai:scielo:S0101-280020200004004982021-01-19Nephrotic syndrome after insect sting: a case reportJunqueira,VâniaDonato,BeatrizTeixeira,CatarinaMascarenhas,Maria IsabelSilva,Isabel CostaAlmeida,Edgar Nephrotic syndrome Nephrosis, Lipoid Edema Insect Bites and Stings Pulmonary Embolism Hypersensitivity ABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years.info:eu-repo/semantics/openAccessSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology v.42 n.4 20202020-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498en10.1590/2175-8239-jbn-2020-0014
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Junqueira,Vânia
Donato,Beatriz
Teixeira,Catarina
Mascarenhas,Maria Isabel
Silva,Isabel Costa
Almeida,Edgar
spellingShingle Junqueira,Vânia
Donato,Beatriz
Teixeira,Catarina
Mascarenhas,Maria Isabel
Silva,Isabel Costa
Almeida,Edgar
Nephrotic syndrome after insect sting: a case report
author_facet Junqueira,Vânia
Donato,Beatriz
Teixeira,Catarina
Mascarenhas,Maria Isabel
Silva,Isabel Costa
Almeida,Edgar
author_sort Junqueira,Vânia
title Nephrotic syndrome after insect sting: a case report
title_short Nephrotic syndrome after insect sting: a case report
title_full Nephrotic syndrome after insect sting: a case report
title_fullStr Nephrotic syndrome after insect sting: a case report
title_full_unstemmed Nephrotic syndrome after insect sting: a case report
title_sort nephrotic syndrome after insect sting: a case report
description ABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years.
publisher Sociedade Brasileira de Nefrologia
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498
work_keys_str_mv AT junqueiravania nephroticsyndromeafterinsectstingacasereport
AT donatobeatriz nephroticsyndromeafterinsectstingacasereport
AT teixeiracatarina nephroticsyndromeafterinsectstingacasereport
AT mascarenhasmariaisabel nephroticsyndromeafterinsectstingacasereport
AT silvaisabelcosta nephroticsyndromeafterinsectstingacasereport
AT almeidaedgar nephroticsyndromeafterinsectstingacasereport
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