Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos
Scorpion stings in Brazil are important not only because of their incidence but also for their potential ability to induce severe, and often fatal, clinical situations, especially among children. In this report we present the clinical and laboratory data of 4 patients victims of scorpion stings by T...
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Universidade de São Paulo (USP)
1994
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ftdoajarticles:oai:doaj.org/article:358835a8443641848cc642f552035bc7 2024-09-09T19:27:30+00:00 Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos Palmira Cupo Mauro Jurca Marisa M. Azevedo-Marques João Samuel M. Oliveira Sylvia E. Hering 1994-02-01T00:00:00Z https://doi.org/10.1590/S0036-46651994000100011 https://doaj.org/article/358835a8443641848cc642f552035bc7 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651994000100011 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46651994000100011 0036-4665 1678-9946 https://doaj.org/article/358835a8443641848cc642f552035bc7 Revista do Instituto de Medicina Tropical de São Paulo, Vol 36, Iss 1, Pp 67-76 (1994) Scorpions stings T. serrulatus Scorpion venom "cardiomyopathy" Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 1994 ftdoajarticles https://doi.org/10.1590/S0036-46651994000100011 2024-08-05T17:49:30Z Scorpion stings in Brazil are important not only because of their incidence but also for their potential ability to induce severe, and often fatal, clinical situations, especially among children. In this report we present the clinical and laboratory data of 4 patients victims of scorpion stings by T. serrulatus, who developed heart failure and pulmonary edema, with 3 of them dying within 24 hours of the sting. Anatomopathologic study of these patients revealed diffuse areas of myocardiocytolysis in addition to pulmonary edema. The surviving child presented enzymatic, electrocardiographic and echocardiographic changes compatible with severe cardiac involvement, which were reversed within 5 days. These findings reinforce the need for continuous monitoring of patients with severe scorpion envenoming during the hours immediately following the sting. Os acidentes escorpiônicos no Brasil, assumem grande importancia não só pela sua incidência como pela sua potencialidade em induzir quadros clínicos graves, muitas vezes fatais, principalmente em crianças. Apresentamos neste relato os dados clínicos e laboratoriais de 4 pacientes vítimas de escorpionismo, causado pelo T. serrulatus, que evoluíram com falência cardíaca e edema pulmonar, sendo que 3 foram a óbito dentro das primeiras 24 horas após acidente. O estudo anátomopatológico desses pacientes revelou áreas de miocardiocitólise, além do edema pulmonar. Na criança que sobreviveu foram detectadas alterações enzimáticas, eletro e ecocardiográficas compatíveis com grave comprometimento cardíaco, reversíveis dentro de 5 dias. Tais achados reafirmam a necessidade de monitorização contínua no paciente com escorpionismo grave, nas horas subsequentes ao envenenamento. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista do Instituto de Medicina Tropical de São Paulo 36 1 67 76 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Scorpions stings T. serrulatus Scorpion venom "cardiomyopathy" Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Scorpions stings T. serrulatus Scorpion venom "cardiomyopathy" Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Palmira Cupo Mauro Jurca Marisa M. Azevedo-Marques João Samuel M. Oliveira Sylvia E. Hering Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
topic_facet |
Scorpions stings T. serrulatus Scorpion venom "cardiomyopathy" Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Scorpion stings in Brazil are important not only because of their incidence but also for their potential ability to induce severe, and often fatal, clinical situations, especially among children. In this report we present the clinical and laboratory data of 4 patients victims of scorpion stings by T. serrulatus, who developed heart failure and pulmonary edema, with 3 of them dying within 24 hours of the sting. Anatomopathologic study of these patients revealed diffuse areas of myocardiocytolysis in addition to pulmonary edema. The surviving child presented enzymatic, electrocardiographic and echocardiographic changes compatible with severe cardiac involvement, which were reversed within 5 days. These findings reinforce the need for continuous monitoring of patients with severe scorpion envenoming during the hours immediately following the sting. Os acidentes escorpiônicos no Brasil, assumem grande importancia não só pela sua incidência como pela sua potencialidade em induzir quadros clínicos graves, muitas vezes fatais, principalmente em crianças. Apresentamos neste relato os dados clínicos e laboratoriais de 4 pacientes vítimas de escorpionismo, causado pelo T. serrulatus, que evoluíram com falência cardíaca e edema pulmonar, sendo que 3 foram a óbito dentro das primeiras 24 horas após acidente. O estudo anátomopatológico desses pacientes revelou áreas de miocardiocitólise, além do edema pulmonar. Na criança que sobreviveu foram detectadas alterações enzimáticas, eletro e ecocardiográficas compatíveis com grave comprometimento cardíaco, reversíveis dentro de 5 dias. Tais achados reafirmam a necessidade de monitorização contínua no paciente com escorpionismo grave, nas horas subsequentes ao envenenamento. |
format |
Article in Journal/Newspaper |
author |
Palmira Cupo Mauro Jurca Marisa M. Azevedo-Marques João Samuel M. Oliveira Sylvia E. Hering |
author_facet |
Palmira Cupo Mauro Jurca Marisa M. Azevedo-Marques João Samuel M. Oliveira Sylvia E. Hering |
author_sort |
Palmira Cupo |
title |
Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
title_short |
Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
title_full |
Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
title_fullStr |
Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
title_full_unstemmed |
Severe scorpion envenomation in Brazil: clinical, laboratory and anatomopathological aspects Escorpionismo grave no Brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
title_sort |
severe scorpion envenomation in brazil: clinical, laboratory and anatomopathological aspects escorpionismo grave no brasil: aspectos clínicos, laboratoriais e anatomopatológicos |
publisher |
Universidade de São Paulo (USP) |
publishDate |
1994 |
url |
https://doi.org/10.1590/S0036-46651994000100011 https://doaj.org/article/358835a8443641848cc642f552035bc7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 36, Iss 1, Pp 67-76 (1994) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651994000100011 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46651994000100011 0036-4665 1678-9946 https://doaj.org/article/358835a8443641848cc642f552035bc7 |
op_doi |
https://doi.org/10.1590/S0036-46651994000100011 |
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Revista do Instituto de Medicina Tropical de São Paulo |
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36 |
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67 |
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