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Wasp stings are usually followed by minor local allergic reactions and rarely anaphylaxis . Systemic complications such as acute renal failure, myocarditis, acute encephalopathy, Guillain-Barre syndrome, thrombocytopenia and vasculitis have been described following multiple wasp stings. Renal impairment is also reported and commonly results from acute tubular necrosis secondary to intravascular haemolysis, rhabdomyolysis or shock 3-6 . Acute renal failure secondary to tubular-interstitial nephritis has been descried in few instances 7 . We report an uncommon variety of acute interstitial nephritis associated with wasp sting.

Acute pigmented tubulopathy and interstitial nephritis following wasp sting