Document Detail


Severe scorpion envenomation in Brazil. Clinical, laboratory and anatomopathological aspects.
MedLine Citation:
PMID:  7997776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P Cupo; M Jurca; M M Azeedo-Marques; J S Oliveira; S E Hering
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Revista do Instituto de Medicina Tropical de São Paulo     Volume:  36     ISSN:  0036-4665     ISO Abbreviation:  Rev. Inst. Med. Trop. Sao Paulo     Publication Date:    1994 Jan-Feb
Date Detail:
Created Date:  1995-01-17     Completed Date:  1995-01-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7507484     Medline TA:  Rev Inst Med Trop Sao Paulo     Country:  BRAZIL    
Other Details:
Languages:  eng     Pagination:  67-76     Citation Subset:  IM    
Affiliation:
Depto. de Puericultura e Pediatria da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Brasil.
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MeSH Terms
Descriptor/Qualifier:
Animals
Antivenins / therapeutic use*
Arachnidism / pathology,  physiopathology*,  therapy
Cardiomyopathies / etiology
Child
Child, Preschool
Fatal Outcome
Female
Humans
Male
Pulmonary Edema / etiology
Scorpion Venoms / poisoning*
Scorpions
Chemical
Reg. No./Substance:
0/Antivenins; 0/Scorpion Venoms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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