Wasp stings and plasma exchange
Entity
UAM. Departamento de MedicinaPublisher
Oxford University PressDate
2022-02-26Citation
10.1093/ckj/sfac055
Clinical Kidney Journal 15.8 (2022): 1455–1458
ISSN
2048-8505 (print); 2048-8513 (online)DOI
10.1093/ckj/sfac055Funded by
FIS/Fondos FEDER (PI18/01366, PI19/00588, PI19/00815, PI21/00251, DTS18/00032, ERA-PerMed-JTC2018) (KIDNEY ATTACK AC18/00064 and PERSTIGAN AC18/00071, ISCIII-RETIC REDinREN RD016/0009), Sociedad Española de Nefrología, FRIAT, Comunidad de Madrid en Biomedicina B2017/BMD-3686 CIFRA2-CM. Instituto de Salud Carlos III (ISCIII) RICORS programme to RICORS2040 (RD21/0005/0001), FEDER fundsProject
Gobierno de España. PI18/01366; Gobierno de España. PI19/00588; Gobierno de España. PI19/00815; Gobierno de España. PI21/00251; Gobierno de España. DTS18/00032; info:eu-repo/grantAgreement/EC/H2020/779282/EU//ERA-PerMed; Gobierno de España. AC18/00064; Gobierno de España. AC18/00071; Gobierno de España. RD016/0009; Comunidad de Maddrid. B2017/BMD-3686 CIFRA2-CMEditor's Version
https://doi.org/10.1093/ckj/sfac055Subjects
acute kidney injury; continuous venovenous haemofiltration; mortality; sting; wasp; MedicinaRights
© The Author(s) 2022Abstract
Invasive species related to climate change and/or globalization may be associated with novel forms of kidney disease. This is the case for wasps. Several species of Asian wasps are increasingly found in America (e.g. Asian giant hornet, Vespa mandarinia) and Europe (e.g. yellow-legged Asian hornet, V. velutina; black shield hornet, V. bicolor; and Oriental hornet, V. orientalis). Some of these species have been associated with human deaths and acute kidney injury. The literature on wasps and acute kidney injury is scarce and mostly originates from Asia, so nephrologists outside Asia are not familiar with this health problem. In a recent issue of ckj, Liu et al. describe a simple, four-item Wasp Sting Severity Score (WSS) developed from 1131 wasp sting patients. Vespa mandarinia and V. velutina were among those causing hospitalization, although most cases were caused by the black-bellied hornet (V. basalis). Liu et al. propose that a WSS ≥3 should guide early (<24 h after stings) plasma exchange, as plasma exchange was associated with lower mortality in severely affected patients but continuous venovenous haemofiltration and haemoperfusion were not. The WSS will require external validation. This manuscript should raise awareness about the potentially fatal consequences of stings by wasp species making their way into America and Europe
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Google Scholar:Carriazo, Sol
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Ortiz Arduán, Alberto
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