Epidemiological, Clinical Characteristics and Outcomes of Scorpion Sting in Southeastern Region of Turkey

Yılmaz, Fevzi; Arslan, Engin Deniz; Demır, Ali Osman; Kavalcı, Cemil; Durdu, Tamer; Yılmaz, Muhittin; Yel, Cihat; Akbulut, Sami

doi:10.5505/tjtes.2013.52333

Cited by 21 publications

(28 citation statements)

References 26 publications

(47 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another study from Diyarbakır reported that the cases were distributed between May and September [14]. Another study from Diyarbakır about reptiles indicated that people generally sleep on the roof and balcony or in the summer house because of the excessive heat between June and August, and the incidence of stings higher during this time period [16]. Similarly, we observed that all of our cases occurred between April and September.…”

Section: Discussionsupporting

confidence: 62%

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Sönmez¹,

Yılmaz²,

Kavalcı³

et al. 2015

Ann Clin Anal Med

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 62%

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Sönmez¹,

Yılmaz²,

Kavalcı³

et al. 2015

Ann Clin Anal Med

View full text Add to dashboard Cite

“…However, in cases with systemic symptoms, use of antivenom and other measures against anaphylactic reactions is recommended. 18 In the present study, the number of cases that received serum therapy did not match the proportion of systemic not sought. Hence, such situations may lead to underestimation of the numbers of accidents and make it difficult to characterize the cases.…”

Section: Discussionmentioning

confidence: 56%

“…19 In the present study, it was found that the upper limbs were the body segments most affected, similar to what was found in other studies. 9,12,18 This result shows that scorpion bites usually occur while household chores are being done, 8,12 or when the victims are putting on their clothes or shoes, 12 or while working in environments that are considered to provide suitable shelters for these animals, without using personal protective equipment (PPE) such as gloves and boots.…”

Section: Discussionmentioning

confidence: 99%

Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study

et al. 2019

View full text Add to dashboard Cite

BACKGROUND: Scorpion accidents have gained great visibility around the world because of the high frequency and severity with which they occur, and have become a global medical-sanitary problem. OBJECTIVE: The aim of this study was to describe the sociodemographic, clinical and epidemiological profile of scorpionism in the municipality of Jequié, Bahia, Brazil, from 2007 to 2015. DESIGN AND SETTING: Retrospective epidemiological study in the municipality of Jequié, Bahia, Brazil. METHODS: This study was based on data collected from the epidemiological investigation notification forms of the injury information system. RESULTS: There was an increase in the coefficient of incidence of scorpion accidents in Jequié from 23.4/100,000 in 2007 to 413.6/100,000 in 2015. There were 3565 cases: 54.9% were female, 58.8% were aged 20-59 years, 63.5% had brown skin color and 48.6% had incomplete primary education. Most accidents occurred in urban areas (93.1%). Homes were the main place of occurrence (84.5%) and upper limbs were the commonest sting sites (53.0%). Regarding clinical aspects, 66.4% of the cases received hospital assistance within one hour after the bite, 84.1% presented mild severity, 97.1% had local manifestations and 10.2% had systemic symptoms. Serum therapy was administered in 17.3% of the cases, and 99.9% evolved to cure. CONCLUSION: There was an increase in the incidence of scorpion accidents in the municipality, which demonstrates the need for investment in actions that reduce the morbidity and mortality caused by these accidents, such as educational campaigns and improvements in socioeconomic and health conditions. Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study | ORIGINAL ARTICLE Sao Paulo Med J. 2019; 137(2):162-8 163

show abstract

“…İngilizce literatürde ülkemizden çıkan araştırmalar da ağırlıklı olarak bu bölgedeki zehirlenmeleri incelemişlerdir. [4][5][6] Mesobuthus gibbosus (Anadolu sarı akrebi) ise Ege bölgesindeki akrep sokmalarının neredeyse tek sorumlusudur. Zehirli akrepler grubundandır; ancak genelde öldürücü değildir.…”

Section: Introductionunclassified

Clinical Characteristics of Pediatric Scorpion Envenomation in the Aegean Region: An Experience of a Training and Research Hospital

Zengın¹,

Anıl²,

Anıl³

et al. 2016

cayd

View full text Add to dashboard Cite

Amaç: Bu çalışmanın amacı Ege bölgesinde akrep tarafından sokulan çocukların klinik ve laboratuvar özelliklerini belirlemek ve ağır olguları öngörmede kullanılacak belirteçleri saptamaktı. Yöntemler: 2008 ile 2015 yılları arasında Ege bölgesinde akrep sokması nedeniyle hastanemize başvuran çocuk olgular geriye dönük incelendi. Olgular klinik şiddetlerine göre gruplandırıldı. Çocuk yoğun bakım ünitesine yatan ve genel pediyatri servisine yatan olguların klinik ve laboratuvar özellikleri karşılaştırıldı. Bulgular: Toplam 23 çocuk olgu (ortanca yaş: 60 ay, 25-75 persentil: 26-98 ay; en düşük yaş: 12 ay; en büyük yaş: 156 ay, kız/erkek: 12/11) değerlendirildi. Olguların %86,9'u hastanemize sevkli geldiler. On dört olguya (%60,9) başvurdukları ilk merkezde antivenom verilmişti. Ancak bu hastalarda intramüsküler antivenomun etkin olmadığı görüldü. En sık saptanan bulgular lokal eritem (%82,6), taşikardi (%65,2) ve takipne (%56,5) idi. Çocukların büyük çoğunluğu (%82,6) ağır klinik şiddete sahipti. Olguların %21,7'sinde otonomik fırtına, %8,7'sinde kalp yetersizliğine bağlı akciğer ödemi, %4,3'ünde kalp dışı akciğer ödemi, %4,3'ünde kalp yetersizliği gelişti. Olguların %60,9'u çocuk yoğun bakım ünitesine yatırıldı ve %13'ü mekanik ventilatöre bağlandı. Hiç bir olgu kaybedilmedi. Çocuk yoğun bakıma yatan olguların hastanemize daha geç geldiği (6 saate karşılık 3 saat) ve başvuru anında ölçülen serum glikoz düzeyinin daha yüksek olduğu (175 mg/dL'ye karşılık 107 mg/dL) saptandı (p<0,05). Sonuç: Ege bölgesinde akrep sokması çocuklarda ciddi klinik sonuçlara neden olabilmektedir. İntramüsküler antivenom uygulaması etkisiz gözükmektedir. Hastanemize ulaşma süresinin uzun olması ve başvuru anında yüksek serum glikoz saptanması çocuk yoğun bakıma yatırılma ihtiyacı ile ilişkili bulunmuştur. Anahtar Kelimeler: Akrep zehirlenmesi, antivenom, Ege bölgesi Introduction: The aim of this study was to define the clinical and laboratory manifestations of scorpion sting envenomation in childhood in the Aegean region of Turkey and to identify factors that are predictive of severe cases. Methods: Children admitted to our emergency department due to scorpion sting envenomation between 2008 and 2015 in the Aegean region of Turkey were evaluated retrospectively. The patients were grouped according to the clinical severity. Children admitted to pediatric intensive care unit and children admitted to general pediatric ward were compared in terms of clinical and laboratory features. Results: A total of 23 children (median age: 60 months; 25-75 percentile: 26-98 months; minimum: 12 months, maximum: 156 months; male/female: 12/11) were evaluated. 86.9% of cases were referred to our hospital. Fourteen patients (60.9%) were given antivenom via intramuscular route. However, intramuscular antivenom was found to be ineffective. The most common findings were local erythema (82.6%), tachycardia (65.2%) and tachypnea (56.5%). The majority of children (82.6%) had severe clinical severity. Autonomic storm developed in 21.7% of patients, heart failure due t...

show abstract

Epidemiological, Clinical Characteristics and Outcomes of Scorpion Sting in Southeastern Region of Turkey

Cited by 21 publications

References 26 publications

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study

Clinical Characteristics of Pediatric Scorpion Envenomation in the Aegean Region: An Experience of a Training and Research Hospital

Contact Info

Product

Resources

About