Scorpion Envenomation

PEDIATRICS ◽  
1980 ◽  
Vol 66 (2) ◽  
pp. 298-302
Author(s):  
Mary Ellen Rimsza ◽  
Dale R. Zimmerman ◽  
Paul S. Bergeson
Keyword(s):  
United States ◽  
Clinical Presentation ◽  
Chemotherapeutic Agent ◽  
Common Symptom ◽  
Scorpion Envenomation ◽  
Local Pain ◽  
Predominant Symptom ◽  
Younger Patient ◽  
Centruroides Sculpturatus ◽  
History Of

A potentially lethal neurotoxin-producing scorpion, Centruroides sculpturatus, exists in the southwestern United States. The most common symptoms of envenomation of 24 patients included local pain, restlessness, and roving eye movements. In this series 80% of cases were in children less than 10 years of age. Pain at the site of the sting was a predominant symptom in the patient more than 10 years of age; however, extreme and perpetual restlessness was the most common symptom in the younger patient. The diagnosis in children is usually made by clinical presentation alone since the site of the sting cannot be identified and children may not communicate the history of the sting. The most commonly used chemotherapeutic agent is phenobarbital. There is no evidence, however, that this drug decreases morbidity or mortality, and massive doses of phenobarbital were associated with two respiratory arrests in this series. The nature of scorpions and their venoms is discussed. Research is needed regarding the use of sympathetic blocking agents in scorpion envenomation.

Leiomyosarcoma of the Foot

2007 ◽  
Vol 97 (6) ◽  
pp. 475-479 ◽  
Author(s):  
Erin Engel ◽  
Michael Butler ◽  
Joseph Anain
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Malignant Tumor ◽  
Clinical Presentation ◽  
Spindle Cell ◽  
Pyogenic Granuloma ◽  
The United States ◽  
Spindle Cell Sarcoma ◽  
Cell Sarcoma ◽  
History Of

Leiomyosarcoma is a very rare malignant tumor, with only 28 new cases diagnosed in the United States each year. The prognosis varies, with average 5-year survival of 65%. Although most leiomyosarcomas occur in the lower extremity, there is a paucity in the literature on these sarcomas in the foot. Only 15 cases of leiomyosarcoma in the foot have been reported in the literature since the mid-1930s. We describe a 31-year-old man with a history of an ingrown toenail and nonhealing pyogenic granuloma. His clinical presentation suggested atypical tissue. Biopsy findings confirmed the diagnosis of spindle cell sarcoma, specifically, leiomyosarcoma. The patient was treated with amputation of the affected hallux and adjuvant therapy. The similar presentations of a pyogenic granuloma and a malignant tumor necessitate a thorough differential diagnosis with even common foot ailments. (J Am Podiatr Med Assoc 97(6): 475–479, 2007)

scholarly journals A case report of brunner gland adenoma

2016 ◽  
Vol 4 (04) ◽  
pp. 29-31
Author(s):  
Vidhya Subramanian ◽  
Mahendranath .P ◽  
A. Shalini ◽  
Sucharita Murugesan
Keyword(s):  
Case Report ◽  
Duodenal Obstruction ◽  
Clinical Presentation ◽  
Common Symptom ◽  
Rare Tumor ◽  
Duodenal Polyp ◽  
Obscure Bleeding ◽  
History Of

Brunner gland adenoma are rare tumor and etiology remains obscure. Bleeding is the most common symptom, Gastric outlet or duodenal obstruction may also occur. The incidence is less than 5%. This case is presented here for rarity of clinical presentation. A 69 years female came with history of melena . Gastroduodenoscopy diagnosed with duodenal polyp.

Envenomation by the Scorpion Centruroides exilicauda (C sculpturatus): Severe and Unusual Manifestations

PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 930-933
Author(s):  
ROBERT A. BERG ◽  
MICHAEL D. TARANTINO
Keyword(s):  
United States ◽  
New Mexico ◽  
Signs And Symptoms ◽  
The United States ◽  
Clinical Effects ◽  
Common Occurrence ◽  
Scorpion Envenomation ◽  
Local Pain ◽  
Northern Mexico ◽  
Clinically Significant

Scorpion envenomation continues to be a common occurrence in the southwestern United States. The only medically important scorpion in the United States is Centruroides exilicauda (also known as C sculpturatus), a scorpion found mainly in Arizona, but also found in parts of Texas, New Mexico, California, and northern Mexico.1 Envenomation by C exilicauda is clinically significant because of potent neurotoxins injected from the terminal tail segment of the scorpion into its prey.2 Clinical effects include tachycardia, local pain, restlessness, roving eye movements, hypertension, respiratory distress, tachypnea, hypersalivation, slurred speech, and stridor. These signs and symptoms are usually more severe in children, especially those younger than 5 years of age.3,4

scholarly journals Methamphetamine Ingestion Misdiagnosed asCentruroides sculpturatusEnvenomation

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Joshua Strommen ◽  
Farshad Shirazi
Keyword(s):  
United States ◽  
Case Report ◽  
Clinical Course ◽  
Female Child ◽  
Blood Analysis ◽  
Intravenous Fluids ◽  
Southwestern United States ◽  
Scorpion Envenomation ◽  
Centruroides Sculpturatus ◽  
Sympathomimetic Toxicity

The authors present a case report of a 17-month-old female child who ingested a large amount of methamphetamine that looked very similar clinically to a scorpion envenomation specific to the southwestern United States by the speciesCentruroides sculpturatus. The child was initially treated with 3 vials of antivenom specific for that scorpion species and showed a transient, though clinically relevant neurologic improvement. Her clinical course of sympathomimetic toxicity resumed and she was treated with intravenous fluids and benzodiazepines after blood analysis showed significant levels of d-methamphetamine. This case report is to specifically underline the clinical confusion in discerning between these two conditions and the realization of limited and/or expensive resources that may be used in the process.

scholarly journals Angioedema as a predominant symptom of Bordetella pertussis infection

2021 ◽  
Vol 14 (3) ◽  
pp. e239243
Author(s):  
Christina Bal ◽  
Ruth Baumgartner ◽  
Daniela Gompelmann ◽  
Marco Idzko
Keyword(s):  
Bordetella Pertussis ◽  
Laboratory Testing ◽  
Clinical Presentation ◽  
Respiratory Pathogens ◽  
Atypical Presentation ◽  
Drug Induced ◽  
Pertussis Infection ◽  
Predominant Symptom ◽  
Common Causes ◽  
History Of

A 41-year-old woman was referred to our hospital with a 6-week history of severe angioedema, dyspnoea and coughing. Initial investigations focused on common causes of angioedema. Clinical presentation and resistance to treatment with antihistamines and steroids made histamine-mediated angioedema unlikely. Bradykinin-mediated angioedema, such as hereditary or drug-induced angioedema, was excluded by a thorough history investigation and laboratory testing for C1-esterase and C4.In rare cases, exogen pathogens cause angioedema. After profound testing for respiratory pathogens, Bordetella pertussis toxins IgA and IgG were found to be positive, indicating recent B. pertussis infection. Pertussis toxin may be responsible for increased vascular permeability causing angioedema. With adequate antibiotic treatment, the symptoms resolved quickly.This case is an example of an atypical presentation of B. pertussis infection in an unvaccinated adult. The recent resurgence of pertussis makes early diagnosis and disease prevention by vaccination crucial.

Review of A brief history of the United States.

1919 ◽  
Vol 10 (8) ◽  
pp. 414-414
Author(s):  
No authorship indicated
Keyword(s):  
United States ◽  
The United States ◽  
History Of

An American Language

2018 ◽  
Author(s):  
Rosina Lozano
Keyword(s):  
United States ◽  
National Policy ◽  
The United States ◽  
Spanish Language ◽  
Spanish Speakers ◽  
Language Recognition ◽  
Political Language ◽  
Political Issue ◽  
History Of ◽  
The U.S

An American Language is a political history of the Spanish language in the United States. The nation has always been multilingual and the Spanish language in particular has remained as an important political issue into the present. After the U.S.-Mexican War, the Spanish language became a language of politics as Spanish speakers in the U.S. Southwest used it to build territorial and state governments. In the twentieth century, Spanish became a political language where speakers and those opposed to its use clashed over what Spanish's presence in the United States meant. This book recovers this story by using evidence that includes Spanish language newspapers, letters, state and territorial session laws, and federal archives to profile the struggle and resilience of Spanish speakers who advocated for their language rights as U.S. citizens. Comparing Spanish as a language of politics and as a political language across the Southwest and noncontiguous territories provides an opportunity to measure shifts in allegiance to the nation and exposes differing forms of nationalism. Language concessions and continued use of Spanish is a measure of power. Official language recognition by federal or state officials validates Spanish speakers' claims to US citizenship. The long history of policies relating to language in the United States provides a way to measure how U.S. visions of itself have shifted due to continuous migration from Latin America. Spanish-speaking U.S. citizens are crucial arbiters of Spanish language politics and their successes have broader implications on national policy and our understanding of Americans.

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