Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review

• Published in: Revista do Instituto de Medicina Tropical de São Paulo
• Main Authors: Polianna Lemos Moura Moreira Albuquerque, Karla do Nascimento Magalhaes, Tamiris de Castro Sales, José Hícaro Hellano Gonçalves Lima Paiva, Elizabeth de Francesco Daher, Geraldo Bezerra da Silva Junior
• Format: Article in Journal/Newspaper
• Language: English
• Published: Universidade de São Paulo (USP) 2018
• Subjects: Scorpionism; Acute kidney injury; Tityus stigmurus; Acute pancreatitis; Arctic medicine. Tropical medicine; RC955-962; Infectious and parasitic diseases; RC109-216; Arctic
• Online Access: https://doi.org/10.1590/s1678-9946201860030; https://doaj.org/article/494212368cc347ed98a6b9ad43bc9d7a

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.