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A 56 year old man with ischaemic heart disease and known allergy to wasp venom was stung in the mouth by a wasp and within four hours sustained an acute myocardial infarction. This complication has been described on only three previous occasions. Possible pathogenic mechanisms include the anaphylactic reaction itself, the action of wasp venom constituents, and therapeutic intervention with adrenaline.
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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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