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Araújo KAMD, Torres-Rêgo M, Gurgel-Medeiros T, Silva-Júnior AAD, Leite RDS, Daniele-Silva A, Fernandes-Pedrosa MDF. Epidemiological study in Brazil: Scorpion sting cases in Natal, Rio Grande do Norte. Heliyon 2024; 10:e24190. [PMID: 38293345 PMCID: PMC10826653 DOI: 10.1016/j.heliyon.2024.e24190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 12/16/2023] [Accepted: 01/04/2024] [Indexed: 02/01/2024] Open
Abstract
Scorpion sting accidents are a public health problem in the state of Rio Grande do Norte, Brazil. The increasing and high incidence of cases in urban areas reveals the importance of studies to determine the epidemiological profile and the spatial distribution of these accidents. This is a retrospective study that describes and analyzes the cases of scorpion stings in the city of Natal, Rio Grande do Norte, Northeast Brazil, from 2007 to 2018. Data from the Information System database of Notifiable Diseases (SINAN) were obtained from the Secretary of Health of Rio Grande do Norte. 31,368 accidents due to scorpion stings were reported, more frequently in urban areas of Natal, whose Human Development Index is low. The cases occurred predominantly in hot and humid regions, mainly affecting women aged between 30 and 60 years. Most individuals sought medical attention within 3 h of the incident. The severity and mortality of the injured individuals varied according to the area of occurrence, age of the patient, and the local and systemic symptoms presented. Pain, numbness, and edema were the most frequent local symptoms, and systemic symptoms were frequently described as headache, hyperthermia and sweating. Therefore, scorpionism in the city of Natal is an environmental and public health problem, with a significant growth trend (p < 0.05). Through the data collected on the spatial distribution and risks, this approach allows the creation of effective control strategies to prevent accidents.
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Affiliation(s)
- Kaliany Adja Medeiros de Araújo
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
| | - Manoela Torres-Rêgo
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
- Graduate Program of Chemistry, Chemistry Institute, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, 3000, Lagoa Nova, Natal, 59072-970, Brazil
| | - Thaynara Gurgel-Medeiros
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
| | - Arnóbio Antônio da Silva-Júnior
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
| | - Renner de Souza Leite
- Graduate Program of Physiological Sciences Federal University of Campina Grande, Olho D’água da Bica, S/N, Cuité, Paraíba, 59072-970, Brazil
| | - Alessandra Daniele-Silva
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
| | - Matheus de Freitas Fernandes-Pedrosa
- Laboratory of Technology and Pharmaceutical Biotechnology (Tecbiofar), College of Pharmacy, Federal University of Rio Grande do Norte, General Gustavo Cordeiro de Farias Avenue, S/N, Petrópolis, Natal, 59012-570, Brazil
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Braga JRM, de Souza MMC, Melo IMLDA, Faria LEM, Jorge RJB. Epidemiology of accidents involving venomous animals in the State of Ceará, Brazil (2007-2019). Rev Soc Bras Med Trop 2021; 54:e05112020. [PMID: 33605378 PMCID: PMC7893813 DOI: 10.1590/0037-8682-0511-2020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 11/13/2020] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Envenomation remains a neglected public health problem in most tropical countries. Epidemiological studies on accidents caused by venomous animals are scarce in the Northeast region of Brazil, mainly in the state of Ceará. The present study aimed to describe the epidemiological features of envenomation cases involving venomous animals in the State of Ceará, Northeastern Brazil, from 2007 to 2019. METHODS The online Notifiable Diseases Information System was consulted for data on all envenomation cases involving venomous terrestrial animals. Data collected were evaluated for the number of accidents/year, number of accidents/zoological group, antivenom therapy, zone of occurrence, sex, age-group distribution, and deaths. RESULTS A total of 54,980 cases were recorded, with the highest incidence being that of scorpion stings (67.2%), predominantly in women (52.4%; odds ratio=3.6; 95% confidence interval=3.5-3.8), equally affecting people aged 10-19 years and 40-59 years (21.4%), in the urban areas (odds ratio=10.3; 95% confidence interval=9.9-10.8), especially in the rainy months. Snakebites (16.7%) had an incidence of 8.1/100,000 inhabitants, but the highest case-fatality rates were observed in bee stings (1.3%) and spider bites (0.5%). Regarding therapeutic variables, a small percentage of people had access to serotherapy (5.3%). CONCLUSIONS This study highlights the accidents caused by terrestrial venomous animals as a public health problem that must be monitored in Ceará. Thus, our findings suggest that preventive actions against scorpion and bee stings should be intensified during the months of higher incidence to improve public policies for patient care.
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Affiliation(s)
- Jacqueline Ramos Machado Braga
- Universidade Federal do Recôncavo da Bahia, Centro de Ciências Agrárias, Ambientais e Biológicas, Laboratório de Répteis e Anfíbios, Cruz das Almas, BA, Brasil
| | - Marta Maria Caetano de Souza
- Secretaria de Saúde do Estado do Ceará, Núcleo de Vigilância Epidemiológica, Coordenadoria de Promoção e Proteção à Saúde, Fortaleza, CE, Brasil
| | - Iva Maria Lima de Araújo Melo
- Secretaria de Saúde do Estado do Ceará, Núcleo de Vigilância Epidemiológica, Coordenadoria de Promoção e Proteção à Saúde, Fortaleza, CE, Brasil
| | - Luis Eduardo Meira Faria
- Universidade Federal do Recôncavo da Bahia, Centro de Ciências Agrárias, Ambientais e Biológicas, Laboratório de Répteis e Anfíbios, Cruz das Almas, BA, Brasil
| | - Roberta Jeane Bezerra Jorge
- Universidade Federal do Ceará, Núcleo de Pesquisa e Desenvolvimento de Medicamentos, Laboratório de Farmacologia de Venenos e Toxinas, Fortaleza, CE, Brasil
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Factors involved in the resilience of incidence and decrease of mortality from scorpion stings in Mexico. Toxicon 2020; 188:65-75. [PMID: 33065199 DOI: 10.1016/j.toxicon.2020.10.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/28/2020] [Accepted: 10/11/2020] [Indexed: 11/20/2022]
Abstract
In Mexico, scorpion sting envenomation (SSE) is a significant public health issue that has engaged the attention of health authorities for more than a century. Rigorously characterized today, scorpion sting incidence is stable around 230 stings per 100,000 population, i.e. 300,000 annual stings treated in Mexican health centers and hospitals. Higher incidence is observed mainly in central and Pacific Mexico. Scorpion populations thrive in populated places, particularly in impoverished areas. Scorpion stings occur in houses. This could explain similar incidence according to gender and age. The number of scorpion stings has remained stable since the mid-2000s. In contrast, mortality, which was over 1500 deaths per year before the 1960s, underwent a dramatic drop after the 1970s, from 500 deaths per year to fewer than 50 annual deaths today. Case fatality rates have shown similar trend. We noted a significantly higher specific mortality in males than in females (0.199 and 0.168 per 100,000 respectively; P < 1.9·10-6). Three causes explained the drop in mortality and case fatality rate, a) ongoing improvement in hospital care, particularly in terms of supportive standardized treatments, b) the use of highly purified immunoglobulin F(ab')2 fragments after 1995 and, c) increasing access to health services for most of the Mexican population. The authors retrace the history of the management of SSE, including the development of antivenoms, in Mexico between 1905 and today.
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Taniele-Silva J, Martins LG, de Sousa MB, de Souza LM, Cardoso RMB, Velasco SRU, Ramos GDS, de Miranda CT, Moura AÁ, Anderson L, Bassi ÊJ. Retrospective clinical and epidemiological analysis of scorpionism at a referral hospital for the treatment of accidents by venomous animals in Alagoas State, Northeast Brazil, 2007-2017. Rev Inst Med Trop Sao Paulo 2020; 62:e26. [PMID: 32401958 PMCID: PMC7232956 DOI: 10.1590/s1678-9946202062026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 03/23/2020] [Indexed: 12/02/2022] Open
Abstract
Scorpionism has a high incidence rate in Brazil. It is considered a serious public health problem mainly in tropical and subtropical regions around the world. The number of scorpion accidents have increased over the years and the highest frequencies have been reported mainly in the Brazilian Northeast region. Therefore, in this study we report a retrospective clinical and epidemiological analysis of scorpion stings from 2007 to 2017 in Alagoas State, Northeast Brazil, at a referral hospital for assistance and treatment of accidents by venomous animals. During the analyzed period, the referral hospital treated 27,988 cases, and an increase in the number of cases has taken place over the years. The highest frequency of scorpion stings was observed in females, and the age range most affected was from 20 to 29 years old. The most stung body site was the foot, followed by finger, toe or hand. Regarding the severity, most severe cases were reported in children up to 4 years old (69.4%) and 50% of the total cases treated with serotherapy corresponded to patients in this age range. Interestingly, it was also found that the occurrence of systemic manifestations and the severity of the cases were significantly associated with pediatric patients. In this way, this study highlights the scorpionism as an environmental public health problem in Alagoas State, Northeast Brazil, as well as the need to intensify the epidemiological surveillance and educational campaigns to prevent and control scorpion accidents throughout the year.
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Affiliation(s)
- Jamile Taniele-Silva
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
| | - Lycia Gama Martins
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
- Universidade Federal de Alagoas, Faculdade de Medicina, Maceió, Alagoas, Brazil
- Universidade Estadual de Ciências da Saúde de Alagoas, Hospital Escola Dr. Hélvio Auto, Maceió, Alagoas, Brazil
| | | | | | | | | | - Geymerson dos Santos Ramos
- Universidade Federal de Alagoas, Instituto de Computação, Laboratório de Computação Científica e Análise Numérica, Maceió, Alagoas, Brazil
| | | | - Adriana Ávila Moura
- Universidade Federal de Alagoas, Faculdade de Medicina, Maceió, Alagoas, Brazil
- Universidade Estadual de Ciências da Saúde de Alagoas, Hospital Escola Dr. Hélvio Auto, Maceió, Alagoas, Brazil
| | - Letícia Anderson
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
- Centro Universitário CESMAC, Maceió, Alagoas, Brazil
| | - Ênio José Bassi
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
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Najafian M, Ghorbani A, Zargar M, Baradaran M, Baradaran N. Scorpion stings in pregnancy: an analysis of outcomes in 66 envenomed pregnant patients in Iran. J Venom Anim Toxins Incl Trop Dis 2020; 26:e20190039. [PMID: 32405289 PMCID: PMC7204829 DOI: 10.1590/1678-9199-jvatitd-2019-0039] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Background: Scorpionism is one of the most important health problems in tropical regions, which unfortunately results in thousands of deaths annually. Pregnant women are potential victims in areas with high scorpion-sting prevalence. Limited medical data are available on the effects of scorpion envenomation in pregnant women. This study aimed to examine the effect of scorpion envenomation on pregnancy outcomes in 66 cases. Methods: The present descriptive/analytical cross-sectional study was performed on 66 scorpion-envenomed pregnant women referred to the clinical toxicology unit of Ahvaz Razi Hospital in Iran during 2015-2017. The variables assessed in all cases, via questionnaire and hospital medical records, were: age, patient residency, gestational week, status of the fetus, laboratory anomalies, clinical severity of envenomation, sting site and scorpion species. Pregnancy outcome (miscarriage, stillbirth, preterm birth, normal delivery) and status of the newborns were also evaluated. Data were analyzed using SPSS ® software (version 24.0). Results: The following pregnancy outcomes were recorded from envenomed pregnant women: miscarriage = 1.5% (n = 1), stillbirth = 4.5% (n = 3), preterm birth = 10.6% (n = 7), normal birth = 83% (n = 55). Among participants whose pregnancy led to birth, 11(17.7%) cases had prenatal-neonatal complications. Neonatal complications, including Apgar score less than 8 points at 5 min, were found in 7 (11.3%) preterm birth cases and in 4 (6.4%) normal birth cases, along with birth weight below 2500 g in normal births. A significant relationship was found between adverse pregnancy outcomes and bite location, as well as scorpion species, but no relationship was found with other variables. Conclusion: Envenomation significantly contributes to preterm birth. Moreover, the location of bites and the type of scorpion species have a decisive role in the pregnancy outcome of scorpion-envenomed pregnant women.
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Affiliation(s)
- Mahin Najafian
- Department of Obstetrics and Gynecology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Ahmad Ghorbani
- Toxicology Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mahvash Zargar
- Department of Obstetrics and Gynecology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Masoumeh Baradaran
- Toxicology Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Nafiseh Baradaran
- Department of Obstetrics and Gynecology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Abstract
Scorpion envenomation is common in the tropical and subtropical regions. It poses a major public health problem with some patients having serious clinical manifestations and severe complications including death. Old World and New World scorpions are usually contrasted because of differences in venom composition, clinical presentation and severity, and, accordingly, different therapeutic approaches. The majority of scorpion stings are either dry or result in low amounts of injected venom, thus explaining why up to 95% of scorpion stings ensue only in local signs. For a clinical envenomation to occur, it has been suggested that the interaction between the quantity of venom introduced in the body of the prey and the distribution volume should ensue in a critical threshold of scorpion toxin plasma concentration. In this case, there is a massive release of neurohormonal mediators (mainly catecholamine), with systemic vasoconstrictor effects eliciting a sharp increase in systemic arterial pressure and LV-filling pressure and decreased cardiac output. This early phase of cardiac dysfunction, also called "vascular phase", is followed by a severe cardiomyopathy, a form of Takotsubo cardiomyopathy, involving both ventricles and reversible in days to weeks. The more comprehensive understanding of the disease pathophysiology has allowed for a well-codified symptomatic treatment, thus contributing to a substantial reduction in the death toll of scorpion envenomation over the past few decades. The standard intensive-care treatment (when available) overcomes envenomation's consequences such as acute pulmonary edema and cardiogenic shock. Even though it continues to inspire many evaluative studies, immunotherapy seems less attractive because of the major role held by mediators in the pathogenesis of envenomation, and unfavorable pharmacokinetic properties to existing sera compared to venom. Meta-analyses of controlled trials of immunotherapy in severe scorpion envenomation reached similar conclusions: there is an acceptable level of evidence in favor of the use of scorpion antivenom (Fab'2) against Centruroides sp. in USA/Mexico, while there is still a need for a higher level of evidence for immunotherapy in the Old World envenomation.
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Santana CR, Oliveira MG. Avaliação do uso de soros antivenenos na emergência de um hospital público regional de Vitória da Conquista (BA), Brasil. CIENCIA & SAUDE COLETIVA 2020; 25:869-878. [DOI: 10.1590/1413-81232020253.16362018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Accepted: 06/27/2018] [Indexed: 01/10/2023] Open
Abstract
Resumo O presente estudo tem como objetivo caracterizar o perfil epidemiológico de vítimas de acidentes escorpiônicos e ofídicos e avaliar a adequação das prescrições de soros antivenenos. Estudo transversal cujas fontes de dados foram as fichas de notificação de acidentes por animais peçonhentos do Sistema de Informação de Agravos de Notificação no município de Vitória da Conquista (BA), Brasil. Foram incluídas as informações de acidentes escorpiônicos ou ofídicos no período entre julho de 2016 e junho de 2017 atendidos no município. Os dados obtidos e as variáveis de interesse foram analisadas de acordo com as perguntas deste estudo. No período observado foram atendidas 293 vítimas de acidentes por animais peçonhentos. Destas, 149 (50,9%) foram homens e 114 (38,9%) possuíam entre 20 a 59 anos. Foram 235 (80,9%) casos de escorpionismo e 58 (19,1%) de ofidismo. Destes, 203 (69,3%) foram classificados como leves e em 200 (68,5%) casos foi prescrita soroterapia para estes pacientes. Quanto à adequação das prescrições, 172 (59,7%) foram julgadas inadequadas e destas, o uso de número de ampolas acima do indicado foi a mais frequente. A prescrição inapropriada de soros antivenenos ocorreu em aproximadamente em 60% dos casos avaliados. Apesar disso, a maioria dos acidentes foi classificada como leve, em homens jovens.
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Carmo ÉA, Nery AA, Nascimento CL, Casotti CA. Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study. SAO PAULO MED J 2019; 137:162-168. [PMID: 31314877 PMCID: PMC9721235 DOI: 10.1590/1516-3180.2018.0388070219] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 02/07/2019] [Indexed: 11/21/2022] Open
Abstract
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.
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Affiliation(s)
- Érica Assunção Carmo
- MSc. Nurse and Doctoral Student, Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
| | - Adriana Alves Nery
- PhD. Nurse and Professor, Department of Health II and Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
| | - Carlito Lopes Nascimento
- PhD. Doctor and Professor, Department of Health and Postgraduate Program on Public Health, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana (BA), Brazil.
| | - Cezar Augusto Casotti
- PhD. Dentist and Professor, Department of Health I and Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
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Albuquerque PLMM, Magalhaes KDN, Sales TDC, Paiva JHHGL, Daher EDF, da Silva GB. Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review. Rev Inst Med Trop Sao Paulo 2018; 60:e30. [PMID: 29972468 PMCID: PMC6029862 DOI: 10.1590/s1678-9946201860030] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 05/08/2018] [Indexed: 12/12/2022] Open
Abstract
Despite the high number of accidents due to scorpion stings in Brazil, severe cases in adults are seldomly reported. In the Northeast region of Brazil, Tityus stigmurus is the most prevalent species. A 69 year-old woman who was stung by a scorpion attended the emergency room 5 hours after envenomation. She got worse due to abdominal pain. Clinical findings were concordant with class III scorpion envenomation (major systemic manifestations), complicated by acute kidney injury and acute pancreatitis. Intensive supportive therapy was adopted. In the follow-up, 3 months later, she was completely recovered. This report is being brought to recommend the thorough management of victims of scorpion accidents, enabling early diagnosis of severe complications, which could lead to death if aggressive supportive measures are not early and adequately taken.
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Affiliation(s)
- Polianna Lemos Moura Moreira Albuquerque
- Universidade Federal do Ceará, Programa de Pós-Graduação em Ciências Médicas, Fortaleza, Ceará, Brazil
- Instituto Dr. José Frota, Centro de Informação e Assistência Toxicológica, Fortaleza, Ceará, Brazil
| | | | - Tamiris de Castro Sales
- Instituto Dr. José Frota, Centro de Informação e Assistência Toxicológica, Fortaleza, Ceará, Brazil
| | | | | | - Geraldo Bezerra da Silva
- Universidade de Fortaleza, Curso de Medicina, Programas de Pós-Graduação em Saúde Coletiva e Ciências Médicas, Fortaleza, Ceará, Brazil
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Araújo KAMD, Tavares AV, Marques MRDV, Vieira AA, Leite RDS. Epidemiological study of scorpion stings in the Rio Grande do Norte State, Northeastern Brazil. Rev Inst Med Trop Sao Paulo 2017; 59:e58. [PMID: 28793026 PMCID: PMC5553945 DOI: 10.1590/s1678-9946201759058] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Accepted: 05/11/2017] [Indexed: 11/21/2022] Open
Abstract
This communication is a retrospective epidemiological study of the scorpion sting cases recorded from 2007 to 2014 in the Rio Grande do Norte State, Northeastern Brazil. The data was collected from the Injury Notification Information System database of the Health Department of Rio Grande do Norte State. A total of 20,555 cases were studied. The cases were distributed over all months of the period studied and occurred mainly in urban areas. Victims were predominantly 20-29 year-old women. Most victims were stung on the foot and received medical care within 1-3 h after being stung. The cases were mostly classified as mild and progressed to cure. Scorpion stings in Rio Grande do Norte State are an environmental public health problem that needs to be monitored and controlled throughout the year.
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Affiliation(s)
- Kaliany Adja Medeiros de Araújo
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Aluska Vieira Tavares
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Michael Radan de Vasconcelos Marques
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Alecxandro Alves Vieira
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Renner de Souza Leite
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
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