Scorpion sting during pregnancy: A case report accompanied by literature

Abstract

Envenomation is an unusual event in developed countries. Rural population who lives in arid climate is incur this danger. Scorpion sting is one of the envenomation. It is a major public health problem in many underdeveloped tropical countries. In Turkey, epidemiological studies have shown that most scorpion stings affect females. The highest incidence of scorpion stings was recorded for the warmest months of the year since scorpions become more active in the warm season. Diagnosis is obvious from the history. Also pain, erythema, induration, and wheal may be present at the sting point. In pregnancy envenoming is more dangerous but scorpion envenoming is less studied during gestation; however, it may induce various biological disturbances in maternal organism and on their fetuses. In this article the aim is bring on a subject for discussion on a case report. Keywords: Scorpion envenomation, pregnancy ÖzetEnvenomizasyon yani yılan veya akrep gibi zehirli sürüngen ve haşerelerle sokularak zehirlenme kurak iklimin hakim olduğu kırsal bölge halkı için ciddi bir risktir. Türkiye'de yapılan epidemiyolojik çalışmalar bu durumdan özellikle dişilerin etkilendiğine işaret etmektedir. Tanı ise anamneze bağlı olup ağrı, eritem, endurasyon ve belki haşerenin sokma noktasının görülmesine bağlıdır. Gebelikte envenomizasyon ise çok daha riskli olmasına rağmen üzerinde oldukça az çalışılmış bir konudur oysa ki hem maternal ve hem de fetal riskler söz konusudur. Biz bu yazımızda bir vakamızı literatür eşliğinde tartışmak istedik.

Androctonus crassicauda Zehirinin Gebe Sıçanlar ve Yavruları Üzerine Etkileri

“…In many previous clinical cases described by Langley [25] , Guler et al [26] , Kamalak and Kosus [27] , Kaplanoglu and Helvaci [28] , Bozkurt et al [29] , Sarı et al [30] and Ozturk and Koca [31] , no adverse effect was reported in mothers or their fetuses after being stung by scorpion in different periods of pregnancy. Similarly, in a recent retrospective case series and literature review study, 24 pregnant women were admitted to the emergency department at Suruc (Sanliurfa) State Hospital due to scorpion stings and no important effects were reported on the fetus or the mother according to their medical records [11] .…”

Toxicosis of Snake, Scorpion, Honeybee, Spider, and Wasp Venoms: Part 1

“…Snake antivenom made by J. Wyeth and Brother Ltd., Canada was administered intramuscularly [112] and produced desired therapeutic effect against scorpionism. Scorpion envenomation may be more dangerous in pregnant woman [113]. However, Meu TxKα3, a scorpion toxin-like peptide could undergo mutation at site 30 and help improve its K + channel-blocking and antibacterial function [114].…”