Carriazo Sol, Ortiz Alberto
IIS-Fundacion Jimenez Diaz UAM, Madrid, Spain.
Clin Kidney J. 2022 Feb 26;15(8):1455-1458. doi: 10.1093/ckj/sfac055. eCollection 2022 Aug.
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, ) and Europe (e.g. yellow-legged Asian hornet, ; black shield hornet, ; and Oriental hornet, ). 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 , Liu . describe a simple, four-item Wasp Sting Severity Score (WSS) developed from 1131 wasp sting patients. and were among those causing hospitalization, although most cases were caused by the black-bellied hornet (). Liu . 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.
与气候变化和/或全球化相关的入侵物种可能与新型肾病有关。黄蜂就是这种情况。在美国（如亚洲大黄蜂）和欧洲（如黄腿亚洲大黄蜂、黑盾黄蜂和东方黄蜂）越来越多地发现几种亚洲黄蜂。其中一些物种与人类死亡和急性肾损伤有关。关于黄蜂与急性肾损伤的文献很少，且大多来自亚洲，因此亚洲以外的肾病学家对这个健康问题并不熟悉。在最近一期的某杂志中，刘……描述了一种由1131名黄蜂蜇伤患者制定的简单的四项黄蜂蜇伤严重程度评分（WSS）。……是导致住院的原因之一，尽管大多数病例是由黑腹黄蜂引起的。刘……提出，WSS≥3应指导早期（蜇伤后<24小时）进行血浆置换，因为血浆置换与重症患者较低的死亡率相关，但持续静脉-静脉血液滤过和血液灌流则不然。WSS需要外部验证。这篇手稿应提高人们对进入美国和欧洲的黄蜂物种蜇伤可能产生致命后果的认识。
