Serum electrolyte changes in pediatric patients stung by scorpions

Scorpion sting is a health problem in some places of Mexico. The clinical manifestations of scorpion envenomation are variable and include metabolic alterations. Hyperkalemia is the most frequently reported metabolic alteration. We conducted a prospective, observational, descriptive and transversal...

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Bibliographic Details
Published in:Journal of Venomous Animals and Toxins including Tropical Diseases
Main Authors: N. Osnaya-Romero, T. J. M. Hernández, G. Basurto, S. Andrade, J. M. Figueroa, Y. Carvajal, S. S. Flores-Hernandez
Format: Article in Journal/Newspaper
Language:English
Published: SciELO 2008
Subjects:
serum electrolytes
scorpion stung children
Arctic medicine. Tropical medicine
RC955-962
Toxicology. Poisons
RA1190-1270
Zoology
QL1-991
Arctic
Online Access:https://doi.org/10.1590/S1678-91992008000200014
https://doaj.org/article/a28eddbe65c44575aaff0e7bea265035
Description
Summary:Scorpion sting is a health problem in some places of Mexico. The clinical manifestations of scorpion envenomation are variable and include metabolic alterations. Hyperkalemia is the most frequently reported metabolic alteration. We conducted a prospective, observational, descriptive and transversal study in an emergency room at Hospital del Niño Morelense, Mexico. Eighty-two patients were included and classified as mild (17%) moderate (33%) and severe (46%). The mean serum level of sodium was 146.4meq/l, standard deviation (SD) 5.58; potassium 3.86meq/l, SD 0.53, and calcium 9.55mg/dl, SD 0.76. We found 30.4% hypernatremia, 12% hypokalemia, 10.9% abdominal distension, and 14.6% visual alterations.

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