Acute renal insuffciency after scorpion sting

Ranaweera, Gayani; Bavanthan, V.; Nazar, Abdul; Lokuhetty, M. D. S.

doi:10.4038/cmj.v60i1.7487

Cited by 6 publications

(8 citation statements)

References 4 publications

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“…Local manifestations are the most common, especially pain, erythema and edema at the bite's site. However, high venom amounts from these animals can lead to severe systemic manifestations such as respiratory, renal, vascular, cardiac or neurological dysfunction 4,7,11,[17][18][19][20] , and children are the most susceptible to post-poisoning complications [21][22][23] .…”

Section: Introductionmentioning

confidence: 99%

Avaliação do uso de soros antivenenos na emergência de um hospital público regional de Vitória da Conquista (BA), Brasil

Santana

Oliveira

2020

Ciênc. saúde coletiva

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Resumo O presente estudo tem como objetivo caracterizar o perfil epidemiológico de vítimas de acidentes escorpiônicos e ofídicos e avaliar a adequação das prescrições de soros antivenenos. Estudo transversal cujas fontes de dados foram as fichas de notificação de acidentes por animais peçonhentos do Sistema de Informação de Agravos de Notificação no município de Vitória da Conquista (BA), Brasil. Foram incluídas as informações de acidentes escorpiônicos ou ofídicos no período entre julho de 2016 e junho de 2017 atendidos no município. Os dados obtidos e as variáveis de interesse foram analisadas de acordo com as perguntas deste estudo. No período observado foram atendidas 293 vítimas de acidentes por animais peçonhentos. Destas, 149 (50,9%) foram homens e 114 (38,9%) possuíam entre 20 a 59 anos. Foram 235 (80,9%) casos de escorpionismo e 58 (19,1%) de ofidismo. Destes, 203 (69,3%) foram classificados como leves e em 200 (68,5%) casos foi prescrita soroterapia para estes pacientes. Quanto à adequação das prescrições, 172 (59,7%) foram julgadas inadequadas e destas, o uso de número de ampolas acima do indicado foi a mais frequente. A prescrição inapropriada de soros antivenenos ocorreu em aproximadamente em 60% dos casos avaliados. Apesar disso, a maioria dos acidentes foi classificada como leve, em homens jovens.

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Section: Introductionmentioning

confidence: 99%

Avaliação do uso de soros antivenenos na emergência de um hospital público regional de Vitória da Conquista (BA), Brasil

Santana

Oliveira

2020

Ciênc. saúde coletiva

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“…A few cases of nephropathy following a scorpion sting are reported from the Middle East and North America . This is the second such case from Sri Lanka, and shows renal pathological changes different to reported cases in the literature …”

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confidence: 52%

“…Of 63 reported cases of scorpion sting nephropathy; only six patients have undergone renal biopsies. These biopsies have shown glomerular mesangial proliferation, variable degrees of tubular changes, mild interstitial infiltration and thrombotic microangiopathy with glomerular infarctions . Acute glomerulonephritis with endocapillary proliferation and acute inflammatory cell infiltrates in glomeruli is not reported.…”

Section: Discussionmentioning

confidence: 94%

Scorpion sting nephropathy: A case report

Priyani

Nazar

2017

Nephrology

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“…In human envenomations caused by the Tityus genus, neurological manifestations such as convulsion and lowering of the consciousness level have been described 20 , 21 , 26 . Other rare clinical conditions have been described due to scorpions, as ischemic stroke 27 , acute kidney injury 28 , myocardial dysfunction 29 and death.…”

Section: Discussionmentioning

confidence: 99%

“…However, the renal failure is most likely not a direct nephrotoxic effect 45 , which remains to be investigated. Accordingly, some pathologic data from kidney biopsies revealed the association of these factors, such as direct nephrotoxicity of venom, haemoglobinuria, secondary to microvascular hemolysis and hypovolemia 28 , 43 .…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review

Albuquerque

Magalhaes²,

Sales³

et al. 2018

Rev. Inst. Med. trop. S. Paulo

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Despite the high number of accidents due to scorpion stings in Brazil, severe cases in adults are seldomly reported. In the Northeast region of Brazil, Tityus stigmurus is the most prevalent species. A 69 year-old woman who was stung by a scorpion attended the emergency room 5 hours after envenomation. She got worse due to abdominal pain. Clinical findings were concordant with class III scorpion envenomation (major systemic manifestations), complicated by acute kidney injury and acute pancreatitis. Intensive supportive therapy was adopted. In the follow-up, 3 months later, she was completely recovered. This report is being brought to recommend the thorough management of victims of scorpion accidents, enabling early diagnosis of severe complications, which could lead to death if aggressive supportive measures are not early and adequately taken.

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Acute renal insuffciency after scorpion sting

Cited by 6 publications

References 4 publications

Avaliação do uso de soros antivenenos na emergência de um hospital público regional de Vitória da Conquista (BA), Brasil

Avaliação do uso de soros antivenenos na emergência de um hospital público regional de Vitória da Conquista (BA), Brasil

Scorpion sting nephropathy: A case report

Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review

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