Clinical symptoms observed in children envenomated by scorpion stings, at the children's hospital from the State of Morelos, Mexico

Osnaya-Romero, Neydi; Medina-Hernández, T de Jesus; Flores‐Hernández, Sergio; León-Rojas, G

doi:10.1016/s0041-0101(00)00204-x

Cited by 90 publications

(58 citation statements)

References 8 publications

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“…These fi ndings are in agreement with the correlation between young age and the severity of clinical manifestations after scorpion envenomation found in other studies [28][29][30] . High morbidity and lethality rates in children have usually been associated with immune system vulnerability and the ratio of the dose of the venom to the body weight of the patient 7,31 .…”

Section: Discussionsupporting

confidence: 93%

“…These factors contribute to a rapid progression from the mild to the severe phase in young children. In addition to patient age and susceptibility, other aspects reported to infl uence the signs and symptoms of scorpion envenomation include the species of scorpion, sex of the patient, site of the sting and period elapsed between the time of the sting and fi rst medical aid 14,15,29 .…”

Section: Discussionmentioning

confidence: 99%

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Pediatric epidemiological aspects of scorpionism and report on fatal cases from Tityus stigmurus stings (Scorpiones: Buthidae) in State of Pernambuco, Brazil

Albuquerque

Neto²,

Amorim³

et al. 2013

Rev. Soc. Bras. Med. Trop.

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Introduction: Envenomation by scorpion stings is a major public health problem in numerous tropical countries because of its frequent incidence and potential severity. Approximately 1,900 species of scorpions are known in the world, and at least 130 of these have been described in Brazil. Methods: This work reports on 3 child deaths caused by Tityus stigmurus stings and characterizes epidemiological and clinical surveys on pediatric cases of scorpionism recorded in the Centro de Assistência Toxicológica de Pernambuco (Ceatox-PE). Results: Scorpion stings accounted for more than 60% of all cases recorded for venomous animals. The children were from 37 cities of the State of Pernambuco and accounted for 28.8% of the victims treated for scorpion stings, with the highest incidence in the metropolitan area of Recife. Stings occurred throughout the year and slightly increased during the rainy season. Independent of the elapsed time for a prognosis, most cases showed mild symptoms. Three moderate cases that resulted in death featured cardiogenic shock and/or pulmonary edema or severe neurological symptoms. For the fi rst time, death attributed to T. stigmurus was confi rmed by the presence of the scorpion. Conclusions: These results suggest that scorpionism in Pernambuco is a public health problem that needs to be monitored carefully throughout the year by the government.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Pediatric epidemiological aspects of scorpionism and report on fatal cases from Tityus stigmurus stings (Scorpiones: Buthidae) in State of Pernambuco, Brazil

Albuquerque

Neto²,

Amorim³

et al. 2013

Rev. Soc. Bras. Med. Trop.

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“…Similar to findings reported in the literature, patients admitted to Class I represent 87.5% (17)(18)(19)(20)(21). However, the Class II proportion was lower (8.8% of cases) than those in the literature (22).…”

Section: Discussionsupporting

confidence: 85%

Risk factors for scorpion stings in the beni mellal province of morocco

Charrab

Oufir²,

Soulaymani

et al. 2009

J. Venom. Anim. Toxins incl. Trop. Dis

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Scorpion stings comprise a serious problem throughout the globe, especially in regions where they are more frequent. In Morocco, Beni Mellal is one of the provinces most affected by this burden. This study aimed to trace the epidemiological profile of scorpion stings in Beni Mellal in order to improve patient care and prevent both morbidity and mortality. Our work is a retrospective study of scorpion stings based on medical charts of Beni Mellal. From 2002 cases were registered in this province with an average incidence of 1.36‰. The stings were more frequent in summer months, particularly July and August, and between 6 p.m. and 6 a.m. (59.8%). The average age of victims was 26.54 ± 18.42 years. Children were affected in 30.3% of the cases. Of all registered cases, 67.3% of the patients received medical aid in less than an hour after the sting. The envenomation rate (Class II and Class III) was 12.4% and the overall case-fatality rate was 0.42% with a mortality rate of 0.005‰. Statistical analysis of the various studied factors revealed a significant connection among the envenomation class, patient age and evolution.

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“…Osnaya-Romero et al (14) reported that there were more cases among infants from 1 to 3 years and the average age was 5.2 years. This average was the same found in our study (4.8 years) with a higher range of 4-10 years old.…”

Section: Discussionmentioning

confidence: 97%

“…While several authors argue that a correct clinical management of Buthidae envenomation treatment eliminates the need for specific antivenom (3,(36)(37)(38), other authors recommend the use of scorpion antivenom (5,8,14,(39)(40).…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and clinical characteristics of scorpion stings in children in fez, Morocco

Abourazzak¹,

Achour²,

Arqam³

et al. 2009

J. Venom. Anim. Toxins incl. Trop. Dis

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Scorpion stings are a public health problem in Morocco, especially among children, who experience the most severe cases. Epidemiological and clinical findings on scorpion stings in Fez, Morocco, were evaluated in this investigation. Of 163 cases that required medical attention, 62.6% were male children. The mean age of patients was 4.8 ± 3.4 years. The mean time between stings and first medical attention was 3.36 ± 2.5 hours. Almost all cases occurred in the summer (94%) and extremities represented the most frequent sting sites (86.5%). Local pain, hyperemia, scarification, vomiting, sweating, restlessness, tachycardia and tachypnea were the observed clinical symptoms. Regarding severity, 55.2% of patients belonged to class III, followed by class II (26.4%) and class I (18.4%). None of our patients received antivenom; however, all of them were treated symptomatically depending on clinical manifestations.

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Clinical symptoms observed in children envenomated by scorpion stings, at the children's hospital from the State of Morelos, Mexico

Cited by 90 publications

References 8 publications

Pediatric epidemiological aspects of scorpionism and report on fatal cases from Tityus stigmurus stings (Scorpiones: Buthidae) in State of Pernambuco, Brazil

Pediatric epidemiological aspects of scorpionism and report on fatal cases from Tityus stigmurus stings (Scorpiones: Buthidae) in State of Pernambuco, Brazil

Risk factors for scorpion stings in the beni mellal province of morocco

Epidemiological and clinical characteristics of scorpion stings in children in fez, Morocco

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