ArticleRenal failure2021
Macroscopic hematuria in wasp sting patients: a retrospective study.
Article in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- The predictive value of early systemic inflammatory response index (SIRI), serum βRenal failure · 2026Article
- Development and Internal Validation of a Predictive Nomogram for Assessing Rhabdomyolysis Risk After Wasp Stings: A Multicenter Study in Sichuan, China.Emergency medicine international · 2026Article
- From sting to STING: role of inflammation in wasp sting induced AKI - a narrative review.BMC nephrology · 2025Review
- Complement activation in wasp venom-induced acute kidney injury.Renal failure · 2024Article
- A prediction nomogram for mortality in patients following wasp stings: a retrospective study.Scientific reports · 2024Article
- A rare concurrence of acute tubular necrosis and chronic glomerular sclerosis in a patient with wasp stings.Heliyon · 2024Article
- Analysis of risk factors for acute kidney injury in children with severe wasp stings.Pediatric nephrology (Berlin, Germany) · 2024Article
- Wasp venom-induced acute kidney injury: current progress and prospects.Renal failure · 2023Review
- Clinical manifestations of wasp stings: a case report and a review of literature.Tropical medicine and health · 2022Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMacroscopic hematuria after wasp sting has been reported in Asia to occur before acute kidney injury (AKI), and is often used by clinicians as a sign indicating the need for intensive care and blood purification therapy. However, there is no study on the clinical characteristics and prognosis of this symptom.
methodsThe clinical data of 363 patients with wasp sting admitted to Suining Central Hospital from January 2016 to December 2018 were retrospectively analyzed. At admission, the poisoning severity score (PSS) was used as the criterion for severity classification. According to the presence of macroscopic hematuria, the patients were divided into macroscopic hematuria and non-macroscopic hematuria group.
resultsOf the 363 wasp sting patients, 219 were male and 144 were female, with a mean age of 55.9 ± 16.3 years. Fifty-one (14%) had macroscopic hematuria, 39 (10.7%) had AKI, 105 (28.9%) had rhabdomyolysis, 61 (16.8%) had hemolysis, 45 (12.4%) went on to received hemodialysis, and 14 (3.9%) died. The incidence of AKI in macroscopic hematuria group was 70.6%, and oliguric renal failure accounted for 72.2%. Patients with macroscopic hematuria had significantly higher PSS (2.2 ± 0.5 vs. 1.1 ± 0.3,
conclusionMacroscopic hematuria can be regarded as a surrogate marker of deteriorating clinical outcome following wasp stings. In wasp sting patients with symptoms of macroscopic hematuria or serum LDH higher than 463.5 u/L upon admission, the risk of AKI increases significantly, therefore hemodialysis should be considered. The PSS is helpful in early assessment of the severity of wasp sting patients.
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