scorpion sting
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Author(s):  
Khaled Abdalla Abd-Elbaseer ◽  
Eman Ahmed Abd-Elmawgood ◽  
H. M. Qubaisy ◽  
Yaser F. Abd-Elraheem ◽  
Abdel-Rahman Abdel-Hamed El-Saied ◽  
...  

Scorpion envenomation is a life-threatening emergency and causes serious health problems in tropical and subtropical regions. The aim of this study was to correlate the serum levels of biochemical parameters at admission in children with scorpion envenomation with subsequent morbidity and mortality. It was a prospective, observational, and descriptive study conducted for scorpion-envenomed children who presented to emergency and intensive care units between April 2019 and September 2019. Demographic, clinical, and laboratory findings of patients were recorded and tabulated. Routine investigations were done for all patients in addition to blood levels of lactate, free fatty acids (FFA), and insulin. All patients were compared according to outcome as survivors and nonsurvivors and according to glucose level as normoglycemic and hyperglycemic groups. There were 62 scorpion sting cases; their mean age was 8.6 ± 3.2 years. Patients aged more than 6 years (74.2%), and males (66.1%) were more affected than others. As regards severity, 25.8% were suffering organ dysfunction, 40.3% suffered systemic manifestations without organ dysfunction, and (33.9%) with only local manifestations. Serum glucose and FFA were significantly higher in nonsurvivors compared with survivors. Shock, convulsion, coma, heart failure, and pulmonary edema were significantly more common in hyperglycemic than normoglycemic group. Hyperglycemia, and raised FFA were associated with severe scorpion envenomation. Raised FFA was well correlated with presence of heart failure, leucocytosis, and hyperglycemia. Adding serum glucose and FFA to monitoring parameters of scorpionism severity can help the prediction of high-risk patients.


Author(s):  
Laura Naranjo ◽  
Fernando Carrillo-Villaseñor ◽  
Gina D’Suze ◽  
Carlos Sevcik ◽  
Nathan Gundacker ◽  
...  

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.


2021 ◽  
Vol 14 (4) ◽  
pp. 301-303
Author(s):  
Reshma Manik ◽  
Jagruti Arun Pashte ◽  
Varsha Iranna Dalal ◽  
Prasad Bali
Keyword(s):  

2021 ◽  
pp. 813-838
Author(s):  
Michael Eddleston ◽  
David Warrell

Acute poisoning?, Acute pesticide poisoning?, Organophosphates/carbamates?, Acute poisoning with pharmaceuticals/chemicals?, Mushroom poisoning?, Methanol poisoning?, Fish and shellfish poisoning?, Snake bite?, Scorpion sting?, Spider bite?, Fish stings?, Jelly fish stings?


Author(s):  
Mohammad Reza Khalilian ◽  
Seyyed Abdolhossein Tavallai Zavareh ◽  
Ali Reza Norouzi ◽  
Mohammad Ghazavi ◽  
Ali Ahmad Goudarzi

A 9-year-old girl with signs and symptoms of acute toxic myocarditis and cardiogenic shock with elevated cardiac enzymes was admitted to the Critical Care Unit (CCU) of our hospital with an ejection fraction of 25%. The patient was managed with supportive care and the administration of polyvalent antivenom and inotropes, and after 8 days, she was discharged without any complication with normal ejection fraction. Toxic myocarditis can be a result of scorpion envenomation. After two months of follow-up, the patient recovered completely and medications were discontinued.


2021 ◽  
Vol 30 (Sup9a) ◽  
pp. XIIi-XIIiv
Author(s):  
Francesca Combi ◽  
Simona Papi ◽  
Denise Marchesini ◽  
Alessia Andreotti ◽  
Anna Gambini ◽  
...  

Introduction: Spider bites are common worldwide. Frequently symptoms resolve without any adverse outcome, but in rare cases the bite can cause severe morbidity. The most typical presentation of Mediterranean recluse spider (Loxosceles Rufescens) bite is a dermatonecrotic lesion of the skin (skin loxoscelism). When the only manifestation of a spider bite is an ulcerated skin lesion, clinical suspicion and differential diagnosis strongly depend on its site. We present the case of an ulcerated wound of the breast, diagnosed as a Mediterranean recluse spider bite. Case presentation: A 79-year-old woman presented a 10cm-wide soft tissue ulceration of her left breast. At first, the diagnostic hypothesis of an ulcerated cancer was ruled out. Two family members revealed a recent history of Mediterranean recluse spider bite and the same clinical diagnosis was made for our patient. A wide excision was performed, with complete resolution of symptoms. Discussion: No specific diagnostic criteria for spider bites are available. Diagnosis is usually clinical. Skin loxoscelism could be easily mistaken for cellulitis, various types of skin infections, cutaneous anthrax, vasculitis, scorpion sting, pyoderma gangrenosum, erythema migrans of Lyme disease or prurigo nodularis. A thorough anamnestic interview is fundamental to raise the diagnostic hypothesis. When possible, a biopsy is recommended and it is extremely important when the ulcer can mimic a cancer, as is the case in breast tissue. Conclusion: We recommend a wide excision of the wound after failure of conservative treatment, in order to obtain local control and to perform histological examination on a more representative specimen.


2021 ◽  
Vol 251 (3351) ◽  
pp. 23
Author(s):  
CLL
Keyword(s):  

2021 ◽  
pp. 7-10
Author(s):  
K.Srinivasa Rao ◽  
G. Chandrakala

BACKGROUND:The incidence and severity of scorpion sting are higher in the deferent parts of world , South India is not an exception. AIM :To study the clinical manifestations , complications and preventing the complications with early use of Prazosin in scorpion sting. RESULTS :Age of the study subjects were ranging from 21 -45 years, among them 70% were male and 30% were female. All the study subjects witness pain at the site of sting, other symptoms were paraesthesia (93%), profuse sweating all over the body (78%),cold extremities (76%), swelling at the sie of the sting (65%), nausea and vomiting (48%). CONCLUSIONS : Severity of the clinical features are mild as prazosin included in management of scorpion bite , no case fatility reported in the study. Prazosin is the effective pharmacological and physiological antidote to venom.


Pain ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Wuguang Lu ◽  
Xiaoyang Cheng ◽  
Jiao Chen ◽  
Yonggen Chen ◽  
Mingyuan Wang ◽  
...  
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