膜翅目昆虫多次蜇伤后膜性肾病1例。

IF 1 Q4 UROLOGY & NEPHROLOGY
CEN Case Reports Pub Date : 2024-06-01 Epub Date: 2023-11-18 DOI:10.1007/s13730-023-00834-2
Kenichi Morii, Toshiki Doi, Yoshio Yuba, Aiko Okubo, Kazuomi Yamashita, Sonoo Mizuiri, Yoshiko Nishizawa, Kenichiro Shigemoto, Akira Shimizu, Takao Masaki
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引用次数: 0

摘要

膜翅目昆虫(蜜蜂和黄蜂)蜇伤与肾病综合征之间的关系很少被报道。我们报告一例在多次膜翅虫蜇伤后出现肾病综合征的病例,随后通过肾活检诊断为膜性肾病。患者为一名79岁妇女,她被膜翅目昆虫在其身体的7个部位蜇伤。患者被刺后1周体重增加3.7 kg,双下肢明显水肿。尿蛋白浓度14.8 g/g肌酐和血清白蛋白浓度1.7 g/dL导致肾病综合征的诊断。膜翅目蜇伤后8天经皮肾活检显示I期膜性肾病。她在膜翅目昆虫蜇伤后14天开始口服强的松龙40mg /天,1周后完全缓解,且无肾病综合征复发。据我们所知,这是第一个由膜翅目昆虫蜇伤引起的活检证实的膜性肾病的报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Membranous nephropathy after multiple Hymenoptera stings: a case report.

An association between Hymenoptera (bee and wasp) stings and nephrotic syndrome has been rarely reported. We report a case of nephrotic syndrome after multiple Hymenoptera stings, and membranous nephropathy was later diagnosed by a kidney biopsy. The patient was a 79-year-old woman who was stung by Hymenoptera at seven sites on her body. A weight gain of 3.7 kg was observed in the patient at 1 week after being stung, and she had considerable edema in both lower extremities. A urine protein concentration of 14.8 g/g creatinine and a serum albumin concentration of 1.7 g/dL led to the diagnosis of nephrotic syndrome. A percutaneous kidney biopsy 8 days after the Hymenoptera stings showed stage I membranous nephropathy. She was in complete remission 1 week after the administration of oral prednisolone 40 mg/day, which was started 14 days after Hymenoptera stings, and had no relapse of nephrotic syndrome. To the best of our knowledge, this is the first report of biopsy-proven membranous nephropathy caused by Hymenoptera stings.

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来源期刊
CEN Case Reports
CEN Case Reports UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
80
期刊介绍: Clinical and Experimental Nephrology (CEN) Case Reports is a peer-reviewed online-only journal, officially published biannually by the Japanese Society of Nephrology (JSN).  The journal publishes original case reports in nephrology and related areas.  The purpose of CEN Case Reports is to provide clinicians and researchers with a forum in which to disseminate their personal experience to a wide readership and to review interesting cases encountered by colleagues all over the world, from whom contributions are welcomed.
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