Ischemic Stroke in a Child after a Probable Scorpion Sting

Scorpion stings are common emergencies in the tropics. Species-specific antivenom therapies are available. However, fatalities resulting from scorpion stings remain a public health concern in many settings. Children residing in rural towns and peri-urban areas represent the most vulnerable populations. Delays in the diagnosis of scorpion stings often occur as a result of the non-specific clinical presentations, which then lead to life-threatening complications. We report a 2-year-old Venezuelan boy presenting with acute pancreatitis and pulmonary edema without an identifiable cause 48 hours after his initial symptoms. We administered antivenom therapy when an undetected scorpion sting was suspected. Despite some initial clinical improvement with respect to his acute pancreatitis, pulmonary edema, and coagulation abnormalities, our patient experienced an ischemic stroke. Fortunately, our patient did demonstrate some neurological improvement. Although acute pancreatitis and pulmonary edema are known end-organ damage manifestations of the sting of Tityus in the Americas, our particular case illustrates the risk of ischemic stroke.

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Epidemiological and Clinical Aspects of Scorpion Sting among Children in South Part of Iran

Global Journal of Health Science ◽

10.5539/gjhs.v9n3p289 ◽

2016 ◽

Vol 9 (3) ◽

pp. 289 ◽

Cited By ~ 1

Author(s):

Mehran Shahi ◽

Seyed H. Moosavy ◽

Javad Rafinejad ◽

Shahram Zare ◽

Shahrokh Navidpour ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Clinical Symptoms ◽

Cross Sectional Study ◽

Clinical Aspects ◽

Health Providers ◽

Scorpion Sting ◽

Chi Square ◽

Cross Sectional ◽

Scorpion Stings

Scorpion sting is regarded as one of the most medically-related problems in south part of Iran. This study aimed to describe the epidemiological aspects, clinical symptom and stinging agents among scorpion sting victims referred to Children Hospital in Hormozgan province. A cross-sectional study was conducted which involved all patients who had been stung by scorpion retaining scorpion sample at the time of admission. This study was conducted from May, 2014 to November, 2015. Data was gathered using the researcher made questionnaire and patient`s fills. Data was analyzed by SPSS version 20, using descriptive and analytical statistics such as frequency, percentage, Chi-square and t-test. A total of 191 patients with age ranging from 1 month to 14 years (Mean= 6 ± 2) were studied. The most frequent patients were in the age group 6-10 years old. In this study 103 (53.9) were males and 88 (46.1) females. 169 (88.5%) stung cases were from rural areas and 22 (11.5) were reported from urban areas of the county. Most of the stings occurred indoors in rural areas. Most patients, 148 (80.6%), had been admitted to emergency department within 1-6 hour after scorpion sting. The most prevalence of scorpion stings occurred on foot, 74 (38.7%), and hand, 61 (31.9%). Seventeen species belonging to two families Hemiscorpidae and Buthidae were identified. The main species of scorpion responsible for stinging was Hemiscorpius acanthocercus 41 (21.5%) followed by Compsobuthus persicus, 37 (19.5), and H. enischnochela, 35 (18.4). The most common clinical symptoms observed in patients were pain (56.5%), erythema (39.8%) and burning sensation (33.5%). The findings of this study, highlights the role of age, gender, residence location and scorpion species in envenomation. Therefore, health providers are recommended to consider these factors and the interference of these elements to prevent and care scorpion envenomation in children under 14 years old.

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Descending Cervical-Sacral Pain after the Administration of Antivenom to the Scorpion Sting Poisoning: A Case Report

Latin american journal of clinical sciences and medical technology ◽

10.34141/ljcs7951402 ◽

2020 ◽

Vol 2 (2) ◽

pp. 93-96

Author(s):

Josué Saúl Almaraz Lira ◽

Alfredo Luis Chávez Haro ◽

Cristian Alfredo López López ◽

Remedios del Pilar González Jiménez

Keyword(s):

Blood Pressure ◽

Type 2 Diabetes ◽

Case Report ◽

Signs And Symptoms ◽

Cervical Region ◽

Scorpion Sting ◽

Case Presentation ◽

Sacral Region ◽

Scorpion Stings

Introduction. Scorpion stings occur mainly in spring and summer, with an estimate of 1.2 million cases per year worldwide. About 300,000 poisonings occur within a year, primarily affecting children and adults older than 65 years. In 2019, Guanajuato (Mexico) ranked third in poisoning by scorpion sting with a total of 43,913 cases. The intoxication grades are three where the signs and symptoms are varied. There are two types of antivenom in the Mexican market, and we use Alacramyn® in our case. Case presentation. A 70-year-old female —with grade 1 scorpion sting poisoning, 30 minutes of evolution, with type 2 diabetes and high blood pressure— received two vials of antivenom according to current regulations. She presented transient vagal reaction and subsequent transient pain in the cervical region that radiates to the sacral region. At discharge, there are no data compatible with scorpion sting poisoning. Conclusions. Transient pain in the cervical region to the sacral region may be secondary to an anxiety crisis, hypersensitivity to IgG, or secondary reaction to administration in less time than recommended by the provider. The benefit was greater than the reactions that occurred.

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Detection of Beta-Lactam-Resistant Escherichia coli and Toxigenic Clostridioides difficile Strains in Wild Boars Foraging in an Anthropization Gradient

Animals ◽

10.3390/ani11061585 ◽

2021 ◽

Vol 11 (6) ◽

pp. 1585

Author(s):

Laila Darwich ◽

Chiara Seminati ◽

Jorge R. López-Olvera ◽

Anna Vidal ◽

Laia Aguirre ◽

...

Keyword(s):

Escherichia Coli ◽

Disease Transmission ◽

Urban Areas ◽

Carbapenem Resistance ◽

Anthropogenic Sources ◽

Health Concern ◽

Natural Environments ◽

Beta Lactam ◽

Wild Boars ◽

Clostridioides Difficile

Disease transmission among wild boars, domestic animals and humans is a public health concern, especially in areas with high wild boar densities. In this study, fecal samples of wild boars (n = 200) from different locations of the Metropolitan Area of Barcelona were analyzed by PCR to explore the frequency of β-lactamases and extended cephalosporin and carbapenem resistance genes (ESBLs) in Escherichia coli strains and the presence of toxigenic Clostridioides difficile. The prevalence of genes conferring resistance to β-lactam antimicrobials was 8.0% (16/200): blaCMY-2 (3.0%), blaTEM-1b (2.5%), blaCTX-M-14 (1.0%), blaSHV-28 (1.0%), blaCTX-M-15 (0.5%) and blaCMY-1 (0.5%). Clostridioides difficile TcdA+ was detected in two wild boars (1.0%), which is the first report of this pathogen in wild boars in Spain. Moreover, the wild boars foraging in urban and peri-urban locations were more exposed to AMRB sources than the wild boars dwelling in natural environments. In conclusion, the detection of E. coli carrying ESBL/AmpC genes and toxigenic C. difficile in wild boars foraging in urban areas reinforces the value of this game species as a sentinel of environmental AMRB sources. In addition, these wild boars can be a public and environmental health concern by disseminating AMRB and other zoonotic agents. Although this study provides the first hints of the potential anthropogenic sources of AMR, further efforts should be conducted to identify and control them.

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Mosquito-Associated Viruses and Their Related Mosquitoes in West Africa

Viruses ◽

10.3390/v13050891 ◽

2021 ◽

Vol 13 (5) ◽

pp. 891

Author(s):

Eric Agboli ◽

Julien B. Z. Zahouli ◽

Athanase Badolo ◽

Hanna Jöst

Keyword(s):

West Africa ◽

Urban Areas ◽

Disease Surveillance ◽

Health Concern ◽

Future Research ◽

Distribution Data ◽

Valley Fever ◽

Research Areas ◽

Mosquito Ecology ◽

Abundance And Distribution

Mosquito-associated viruses (MAVs), including mosquito-specific viruses (MSVs) and mosquito-borne (arbo)viruses (MBVs), are an increasing public, veterinary, and global health concern, and West Africa is projected to be the next front for arboviral diseases. As in-depth knowledge of the ecologies of both western African MAVs and related mosquitoes is still limited, we review available and comprehensive data on their diversity, abundance, and distribution. Data on MAVs’ occurrence and related mosquitoes were extracted from peer-reviewed publications. Data on MSVs, and mosquito and vertebrate host ranges are sparse. However, more data are available on MBVs (i.e., dengue, yellow fever, chikungunya, Zika, and Rift Valley fever viruses), detected in wild and domestic animals, and humans, with infections more concentrated in urban areas and areas affected by strong anthropogenic changes. Aedes aegypti, Culex quinquefasciatus, and Aedes albopictus are incriminated as key arbovirus vectors. These findings outline MAV, related mosquitoes, key knowledge gaps, and future research areas. Additionally, these data highlight the need to increase our understanding of MAVs and their impact on host mosquito ecology, to improve our knowledge of arbovirus transmission, and to develop specific strategies and capacities for arboviral disease surveillance, diagnostic, prevention, control, and outbreak responses in West Africa.

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Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46651994000100011 ◽

1994 ◽

Vol 36 (1) ◽

pp. 67-76 ◽

Cited By ~ 64

Author(s):

Palmira Cupo ◽

Mauro Jurca ◽

Marisa M. Azevedo-Marques ◽

João Samuel M. Oliveira ◽

Sylvia E. Hering

Keyword(s):

Heart Failure ◽

Pulmonary Edema ◽

Continuous Monitoring ◽

Cardiac Involvement ◽

Clinical Laboratory ◽

Laboratory Data ◽

Scorpion Envenomation ◽

The Hours ◽

Scorpion Stings

Scorpion stings in Brazil are important not only because of their incidence but also for their potential ability to induce severe, and often fatal, clinical situations, especially among children. In this report we present the clinical and laboratory data of 4 patients victims of scorpion stings by T. serrulatus, who developed heart failure and pulmonary edema, with 3 of them dying within 24 hours of the sting. Anatomopathologic study of these patients revealed diffuse areas of myocardiocytolysis in addition to pulmonary edema. The surviving child presented enzymatic, electrocardiographic and echocardiographic changes compatible with severe cardiac involvement, which were reversed within 5 days. These findings reinforce the need for continuous monitoring of patients with severe scorpion envenoming during the hours immediately following the sting.

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Africanized honeybees in urban areas: a public health concern

Revista da Sociedade Brasileira de Medicina Tropical ◽

10.1590/0037-8682-0254-2013 ◽

2014 ◽

Vol 47 (5) ◽

pp. 659-662 ◽

Cited By ~ 4

Author(s):

Rodrigo Zaluski ◽

Samir Moura Kadri ◽

Edison Antonio de Souza ◽

Valdinei Moraes Campanucci da Silva ◽

Juliane Reis Campanucci da Silva ◽

...

Keyword(s):

Public Health ◽

Urban Areas ◽

Health Concern ◽

Public Health Concern ◽

Africanized Honeybees

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Examining the Dietary Diversity of Children in Niger

Nutrients ◽

10.3390/nu13092961 ◽

2021 ◽

Vol 13 (9) ◽

pp. 2961

Author(s):

Nafissatou Cisse Egbuonye ◽

Ariun Ishdorj ◽

E.L.J. McKyer ◽

Rahma Mkuu

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Dietary Diversity ◽

Descriptive Analysis ◽

Age Groups ◽

Wealth Index ◽

Cross Sectional Study ◽

Health Concern ◽

Cross Sectional ◽

Child Factors

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.

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Factors associated with hypertension in Pakistan: A systematic review and meta-analysis

PLoS ONE ◽

10.1371/journal.pone.0246085 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0246085

Author(s):

Muhammad Riaz ◽

Ghazala Shah ◽

Muhammad Asif ◽

Asma Shah ◽

Kaustubh Adhikari ◽

...

Keyword(s):

Public Health ◽

Urban Areas ◽

Health Workers ◽

Health Concern ◽

Case Control Studies ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Negatively Associated ◽

Factors Associated ◽

Health Related

Background High blood pressure is an important public health concern and the leading risk factor for global mortality and morbidity. To assess the implications of this condition, we aimed to review the existing literature and study the factors that are significantly associated with hypertension in the Pakistani population. Methods We conducted several electronic searches in PubMed, ISI Web of Science, PsycINFO, EMBASE, Scopus, Elsevier, and manually searched the citations of published articles on hypertension from May 2019 to August 2019. We included all studies that examined factors associated with hypertension regardless of the study design. To assess the quality of the research, we used the Newcastle-Ottawa Quality Assessment Scale. We also conducted meta-analyses using the DerSimonian & Laird random-effects model to collate results from at least three studies. Results We included 30 cross-sectional and 7 case-control studies (99,391 participants country-wide) in this review and found 13 (35.1%) to be high-quality studies. We identified 5 socio-demographic, 3 lifestyle, 3 health-related, and 4 psychological variables that were significantly associated with hypertension. Adults aged between 30–60 years who were married, living in urban areas with high incomes, used tobacco, had a family history of hypertension, and had comorbidities (overweight, obesity, diabetes, anxiety, stress, and anger management issues) were positively associated with hypertension. On the other hand, individuals having high education levels, normal physical activity, and unrestricted salt in their diet were negatively associated with hypertension. Conclusion We found several socio-demographic, lifestyle, health-related, and psychological factors that were significantly (positively and negatively) associated with hypertension. Our findings may help physicians and public health workers to identify high-risk groups and recommend appropriate prevention strategies. Further research is warranted to investigate these factors rigorously and collate global evidence on the same.

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