Scorpion envenomation in Brazil: an update

Parrela, Arthur Fernandes Barbosa; Rodrigues, Raquel Roque; Campos, Gustavo de Paula; Gomes, A; Rodrigues, Bruna Soares de S. Lima; Braga, Marcella N. Melo; Júnior, Ademir N. Ribeiro; Siqueira-Batista, Rodrigo

doi:10.22354/in.v26i2.1018

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Seventy percent of our patients were hyponatremic & hypokalemia was discovered in 62% of our patients. This is in agreement with previous researches revealed that hyponatremia and hypokalemia occur most frequently [21].…”

Section: Discussionsupporting

confidence: 94%

The correlation between interleukin 1β (IL-1β) as an inflammatory marker and Malondialdehyde (MDA) as a lipid peroxidation marker and the development of cardiac and pancreatic complications in humans suspected to scorpion poisoning

Mebed,

zakaria,

setouhi

et al. 2023

Preprint

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Back ground Scorpion envenomation is a common health problem all over the world. Recent experimental studies on animals were held to prove the correlation between interleukin 1 β (IL-1β), lipid peroxidation and nitric oxide (NO) production in the development of cardiac and pancreatic abnormalities after scorpion venom exposure. The aim of this study is to assess the correlation of lipid peroxidation and IL-1β release and the development of cardiac and pancreatic complications associated with scorpion envenomation in humans which will subsequently evaluate their role in prediction of cardiac or pancreatic complications and help the physicians when to determine to use antioxidants and (IL-1β) receptor blockers in treatment in addition to scorpion antivenom. Methods In this study, 88 subjects were recruited from El-Minia university hospital. All the patients admitted with scorpion envenomtion diagnosis were enrolled over a period of 12 months; from the 1st of Jan 2021 till the 30th of Jan 2022. After exclusion of 7 patients, the remaining subjects were divided into four groups of subjects according to their cardiac function into two groups: group A with normal cardiac function contained: 30 normal subjects, group B contained 51 subjects who had abnormal cardiac functions. The patients were considered to have abnormal cardiac function if they had at least one or more abnormal cardiac investigations (cardiac troponin I (c TN-I), electrocardiogram (ECG), and/or, trans thoracic echocardiography (TTE)).The same patients were divided into another two groups: group C with normal pancreatic function contained: 36 normal subjects, group D contained 45 subjects who had abnormal pancreatic function. Pancreatic function was considered abnormal if one or both of serum amylase & random blood sugar results weren’t normal. Results Our results showed the following: Regarding cardiac abnormality, there were significant statistical differences with both levels of IL-1β and MDA. Regarding pancreatic abnormality, there were insignificant statistical differences with both levels of IL-1β and MDA. Cutoff values were calculated to help health care providers to assess when to introduce such treatments in addition to antivenom to help to counteract these complications and decline the mortality rates. Conclusion It was concluded that IL-1β and MDA have significant correlations in development of cardiac and pancreatic functions abnormalities; the treatments that modify their release or counteract their action may be beneficial. Trial registration The research was approved by the ethical committee board of the faculty of medicine, Minia University, with approval number 206: December/2021. Patients or their first degree relatives (according to the conscious level) were informed by all procedures included in the study and were asked to sign informed consent if they agreed to participate in.

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Section: Discussionsupporting

confidence: 94%

The correlation between interleukin 1β (IL-1β) as an inflammatory marker and Malondialdehyde (MDA) as a lipid peroxidation marker and the development of cardiac and pancreatic complications in humans suspected to scorpion poisoning

Mebed,

zakaria,

setouhi

et al. 2023

Preprint

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“…Accidents caused by scorpions are common in the southeastern region of Brazil, particularly in the state of São Paulo, due to the significant increase in scorpions in urban habitats . There are four families of scorpions in Brazil (Buthidae, Bothriuridae, Chactidae and Hormuridae), and the genus Tityus, belonging to the Buthidae family, is the most responsible for serious accidents (PARRELA et al, 2022). The species Tityus serrulatus (popularly known as the yellow scorpion) and Tityus bahiensis (known as the brown or black scorpion) are common in the southeastern region of Brazil and are responsible for a large number of accidents and deaths in the country (BUCARETCHI et al, 2014;AMADO et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Accidents caused by scorpions in a rural settlement in Ribeirão Preto, state of São Paulo, Brazil

Santos,

Zucoloto,

De Carvalho

et al. 2024

CLCS

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Scorpion stings are common in many Brazilian environments, especially in rural areas. In this descriptive survey, we evaluated the frequency of accidents caused by scorpions in a rural settlement in Ribeirão Preto, Southest Brazil. We used a random sample of 158 participants from the adult population living in the Mario Lago Rural Settlement, located in the “Fazenda da Barra”, rural area of Ribeirão Preto. Data were collected through face-to-face interviews using a structured questionnaire. Approximately three-eighths of the participants had been stung by scorpions. More than 90% had encountered scorpions in their homes or yards, and 13.9% had been stung in the previous 12 months. Hands, feet, arms, and legs were the most common sting sites, and 72.5% reported that the accident occurred inside their homes. Our data suggest that the incidence rate of scorpion accidents found in this rural settlement is much higher than that found in the entire municipality of Ribeirão Preto. These findings highlight the importance of training programs and improvements in sanitary services to prevent scorpion stings in rural communities.

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Does Covid-19 influence the dynamics of envenomation by animals in a country strongly affected by both conditions? Epidemiological data from Brazil

Bisneto,

Vilhena da Silva Neto,

Mota Cordeiro

et al. 2024

Toxicon

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Scorpion envenomation in Brazil: an update

Cited by 4 publications

References 11 publications

The correlation between interleukin 1β (IL-1β) as an inflammatory marker and Malondialdehyde (MDA) as a lipid peroxidation marker and the development of cardiac and pancreatic complications in humans suspected to scorpion poisoning

The correlation between interleukin 1β (IL-1β) as an inflammatory marker and Malondialdehyde (MDA) as a lipid peroxidation marker and the development of cardiac and pancreatic complications in humans suspected to scorpion poisoning

Accidents caused by scorpions in a rural settlement in Ribeirão Preto, state of São Paulo, Brazil

Does Covid-19 influence the dynamics of envenomation by animals in a country strongly affected by both conditions? Epidemiological data from Brazil

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