Epidemiological aspect of scorpion sting in Bandar Abbas, Iran, during 2009-2011

Moosavy, Seyed Hamid; Shahi, Mehran; Rafinejad, Javad; Zare, Shahram; Madani, Abdoulhossain; Navidpour, Shahrokh

doi:10.19082/2286

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…It was found that scorpion envenomations are more common in summer and at night, in line with other studies on scorpion envenomation ( 7 , 28 , 40 - 52 , 65 , 66 , 69 , 70 , 74 - 83 , 87 - 89 ). Moreover, envenomations with Hottentotta scorpions were only reported in summer, and the pain was more prevalent in patients stung by Hottentotta scorpions compared to yellow scorpions.…”

Section: Discussionsupporting

confidence: 90%

Epidemiological and clinical characteristics of scorpionism in Shiraz (2012-2016); development of a clinical severity grading for Iranian scorpion envenomation

Sanaei‐Zadeh

Marashi

Dehghani

2017

Med J Islam Repub Iran

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Background: Scorpionism is a public health problem in some provinces in Iran. The present study aimed to assess the clinical manifestations of scorpion envenomation in Shiraz and determine a clinical severity grading for Iranian scorpion envenomation in order to suggest a treatment guideline for emergency physicians. Methods: In this analytic retrospective study, all medical charts of patients with scorpion sting admitted in the adult medical toxicology center in Shiraz during July 2012 to July 2016 were assessed. Data regarding the patient's age, gender, sting site, month of envenomation, time of sting, clinical manifestations, vital signs, presence of blood or hemoglobin in urine analysis, duration of admission, color of scorpion, received treatments, and administration of scorpion antivenin were recorded. Results: The scorpions in Shiraz and its suburban area were classified into two groups: yellow scorpions ( Mesobuthus eupeus, Mesobuthus caucasicus , and Compsobuthus matthiesseni) and Hottentotta scorpions (Hottentotta jayakari and Hottentotta zagrosensis). A total of 126 cases of scorpion stings were assessed. About 59% (n=74) were males. The patients aged 8-63 years (mean age, 33.8±11.5 years). About 38.4% (n=48) of the stings occurred during summer. More than 40% of patients (n=51) referred to the emergency department (ED) at night. Localized pain was the most frequent presenting complaint (76.2%). The most frequent general symptom was nausea (6.3%). The most prevalent envenomation site was the lower extremities followed by upper extremities (43.5% and 41.9%, respectively). Based on the clinical severity grading for Iranian scorpion envenomation, 65, 43, and 18 patients (51.6%, 34.1%, and 14.3%) were classified in the grades I, II, and III, respectively. Eighty-one (73%) patients stayed in the ED from 1 to 6 hours, and 30 (27%) patients stayed for >6 hours for observation. Severe localized pain was more prevalent in stings with Hottentotta scorpions than yellow scorpions (P=0.01). The season of envenomation with Hottentotta scorpions was summer in all cases, but envenomation with yellow scorpions was seen throughout the year. All patients received symptomatic treatment, and five were given scorpion antivenin. No death was reported. Conclusion: Hottentotta jayakari is recommended to be listed among the medically important scorpions in Iran. Moreover, scorpion-stung patients in geographical regions where Hemiscorpius lepturus and Androctonus crassicauda are not prevalent may be treated in outpatient departments. The presented grading system can be used for treating patients with scorpion envenomation.

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Section: Discussionsupporting

confidence: 90%

Epidemiological and clinical characteristics of scorpionism in Shiraz (2012-2016); development of a clinical severity grading for Iranian scorpion envenomation

Sanaei‐Zadeh

Marashi

Dehghani

2017

Med J Islam Repub Iran

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“…In our study, the highest incidences of scorpion stings were recorded in the summer and spring. The finding is in concordance with other previous studies in several areas of Iran and in neighboring countries that indicated a high incidence of scorpion stings in the summer [4,8,10,15]. Yellow scorpions were responsible for most of the stings in our study; however, the scorpions' color remained unknown in many cases.…”

Section: Discussionsupporting

confidence: 93%

“…In our study, the scorpion stings had occurred mainly in males with the age group of 20-30 years. This finding is in concordance with the results of most previous studies in Iran and other countries [5,[8][9][10][11][12][13]. This result could be due to the job and social activity of men in comparison with women [10].…”

Section: Discussionsupporting

confidence: 93%

Scorpion Stings in Tehran Province, Iran: A Seven-Year Hospital-Based Study

Rahimi

Shadnia

Nasab

et al. 2020

IJMTFM

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Background: Scorpion sting is an important public health problem in Iran. This study aimed to describe the demographics, clinical and laboratory findings of the scorpion stings victims in Tehran Province. Methods: This cross-sectional retrospective study evaluated demographic characteristics, clinical presentations, laboratory findings, treatments, and disposition of scorpion sting patients in Tehran Province, Iran, during 7 years (2012-2018). Results: A total of 199 cases of scorpion sting cases with a mean (SD) age of 30 (18.7) years were studied. The majority of patients were males (62.8%). The most affected age group was 20-30 years (31.1%). The majority of victims (45.7%) were residents in the southern districts of Tehran. The yellow scorpions (33.2%) were responsible for a larger number of envenomations. Most of the stings have been occurred in summer (68.8%). Also, the most affected limbs were hands and legs (94.4%). Most patients (58.8%) had localized manifestations, and the common systemic clinical presentations were hypotension (41.7%) and hypertension (17.1%). Also, the common laboratory findings increased blood urea nitrogen (48.7%), hyperglycemia (20.1%), and anemia (15.1%). The polyvalent anti-scorpion serum had been administered for 33.2% of victims. All patients had been recovered and were discharged in good condition without any complications. There was no fatality report. Conclusion: The demographic characteristics of scorpion sting in Tehran Province are similar to those previously reported from other Iran provinces. It seems that the incidence and clinical severity of scorpionism in Tehran are lower than those compared to other tropical and sub-tropical zones in Iran.

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“…Substantial trauma, tissue damage, infection, allergies, rabies exposure, disability, psychological effects, and rarely death may result from bites and stings ( Langley, 2009 , Sinclair and Zhou, 1995 , Christian et al, 2009 ). Bites and stings continue to cause a major public health challenge, and the clinical sequelae of bites and stings can extend far beyond simple wound management ( Moosavy et al, 2016 ). Identification of people bitten and stung remains a challenge and incomplete ( Patronek and Slavinski, 2009 ).…”

Section: Introductionmentioning

confidence: 99%

The burden of bites and stings management: Experience of an academic hospital in the Kingdom of Saudi Arabia

Khan

Al-Kathiri

Balkhi

et al. 2020

Saudi Pharmaceutical Journal

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Purpose The main aim of this study is to estimate the economic burden and prevalence of bites and stings injuries in Saudi Arabia. Methods A retrospective, cross-sectional study was conducted at King Saud University Medical City (KSUMC) for all bites and stings cases presented to the Emergency Department (ED) between the period June 2015 and May 2019. Results A total of 1328 bites and stings cases were treated in the ED at KSUMC. There were 886 insect bites and stings cases, 376 animal bites, 22 human bites, 34 scorpion stings, and ten snakebites. Most cases were reported in April - June. Females account for 62% of the reported cases, and the mean age was 24 years old. The total management cost of bite and sting cases during the study period was 3.4 million Saudi Riyal (SR). The spending cost of the management of animal bites was the highest as it cost 1,681,920.76 SR, followed by insect's management costing 1,228,623.68 SR. Conclusion Bites and stings have a considerable health care burden on our society. Although the vast majority of the cases were not associated with a severe life-threatening condition, many were visit ED and associated with high medical costs. Increased awareness of the hazards of animal-related injuries, especially during spring and summer, where most cases take place may lower its incidence and decrease EDs visits.

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Epidemiological aspect of scorpion sting in Bandar Abbas, Iran, during 2009-2011

Cited by 8 publications

References 11 publications

Epidemiological and clinical characteristics of scorpionism in Shiraz (2012-2016); development of a clinical severity grading for Iranian scorpion envenomation

Epidemiological and clinical characteristics of scorpionism in Shiraz (2012-2016); development of a clinical severity grading for Iranian scorpion envenomation

Scorpion Stings in Tehran Province, Iran: A Seven-Year Hospital-Based Study

The burden of bites and stings management: Experience of an academic hospital in the Kingdom of Saudi Arabia

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