2010
DOI: 10.1016/j.wem.2010.06.008
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Envenomation by the Scorpion Tityus breweri in the Guayana Shield, Venezuela: Report of a Case, Efficacy and Reactivity of Antivenom, and Proposal for a Toxinological Partitioning of the Venezuelan Scorpion Fauna

Abstract: The severity of the case reinforces categorization of the Guayana Shield region as a macroendemic area of scorpionism in Venezuela and allows classification of T breweri as a species of medical importance, with toxins immunologically related to central-eastern Venezuelan Tityus. Partitioning of the territory incorporating multiple criteria may help health authorities establish and implement preventive and therapeutic measures for scorpion envenoming in this region.

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Cited by 22 publications
(15 citation statements)
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References 26 publications
(76 reference statements)
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“…4), all species belonging to the Amazon and Andes transition. This statement is consistent with the criteria that Tityus reaches its greatest diversity in the Northwestern part of South America with half of the species described from Colombia, Ecuador and Venezuela [19], [74]. The other scorpion species – T. costatus , T. bahiensis , T. stigmurus , T. serrulatus and T. fasciolatus – belong to the Amazon and Atlantic Forest transition and also to Cerrado biome.…”
Section: Discussionsupporting
confidence: 86%
“…4), all species belonging to the Amazon and Andes transition. This statement is consistent with the criteria that Tityus reaches its greatest diversity in the Northwestern part of South America with half of the species described from Colombia, Ecuador and Venezuela [19], [74]. The other scorpion species – T. costatus , T. bahiensis , T. stigmurus , T. serrulatus and T. fasciolatus – belong to the Amazon and Atlantic Forest transition and also to Cerrado biome.…”
Section: Discussionsupporting
confidence: 86%
“…Taking into account the need for newly anti-Tityus antivenoms effective in both Central America and Colombia and given the taxonomical and toxinological complexity of the genus throughout its distribution range as well as the similarities of Central American Tityus to Colombian and western Venezuelan species, the preparation of such sera should be preceded by a study incorporating multiple criteria (4,27,41). These criteria should extend beyond incidence/ species range, in order to determine whether regional or pan-regional sera are to be prepared.…”
Section: Discussionmentioning
confidence: 99%
“…For instance, six Centruroides species are highly toxic in Mexico (C. infamatus, C. limpidus limpidus, C. limpidus tecomanus, C. suffusus suffusus, C. noxius) and the United States (C. sculpturatus), while Tityus includes at least twenty species of medical importance throughout South America and the Caribbean, including T. discrepans, T. zulianus, and T. nororientalis (Venezuela), T. trinitatis (Trinidad and Tobago), T. pachyurus, T. asthenes, and T. fuhrmani (Colombia), T. serrulatus, T. stigmurus, and T. bahiensis (southeast Brazil), T. obscurus (formerly T. paraensis/T. cambridgei, Brazilian Amazon, French Guiana and Guyana), T. metuendus (the Peruvian and Brazilian Amazon), and T. trivitattus and T. confluens (Argentina) (4,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18).…”
mentioning
confidence: 99%
“…Scorpionism in Argentina is a public health problem that is under control due to its relatively low incidence and the accessibility of specific antivenoms. In Venezuela, envenomation by Tityus scorpions is a common public health hazard [153]. In Colombia, scorpionism by T. asthenes is prevalent [154].…”
Section: Scorpions -Basic Epidemiologic Data and Main Control Effortsmentioning
confidence: 99%