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2.1
Scorpion Envenomation
Poisoning by Scorpion Sting

Presentation

Abstract The clinical presentation of 32 children with scorpion envenomation was analysed. The most common presentation was cold, clammy extremities with normal blood pressure. [ncbi.nlm.nih.gov]

Website WHO IRIS: Scorpion sting syndrome: epidemiology, clinical presentation and management of 2240 cases 2016 In-text: (Apps.who.int, 2016) Your Bibliography: Apps.who.int. (2016). [citethisforme.com]

Entire Body System

  • Localized Pain

    Severity ranges from local pain and paresthesia to fatal cardiotoxicity and encephalopathy. [ncbi.nlm.nih.gov]

  • Hyperthermia

    Symptoms include: agitation, tachycardia, vomiting, abdominal pain, salivation, diaphoresis, dehydration, muscle rigidity and twitching, tremor, seizures, coma, pupillary changes, hyperthermia, tachyarrythmias and occasionally bradyarrhythmias, hypertension [ncbi.nlm.nih.gov]

    Abstract Hyperthermia and profuse perspiration are rarely absent in severe cases of scorpion envenomation. [link.springer.com]

    • Malignant hyperthermia. 9. Gastrointestinal manifestations: O Excessive salivation. O Vomiting, diarrhea. O Acute erosive gastritis that may lead to hematemesis. 10. [slideshare.net]

    Autonomic effects include the following: Sympathetic overdrive symptoms predominate, causing tachycardia, hypertension, hyperthermia, and pulmonary edema. [emedicine.medscape.com]

  • Hypothermia

    On admission, the main clinical manifestations and laboratory and electrocardiographic changes were: vomiting (17), diaphoresis (15), tachycardia (14), prostration (10), tachypnea (8), arterial hypertension (7), arterial hypotension (5), tremors (5), hypothermia [ncbi.nlm.nih.gov]

    Hypothermia: prevention, managing Deshydratation: what, prevention For divers The risks and challenges of deep-see diving (decompression, preparations,, how to deal with sharks and other see creatures, coral cuts) The bends, barotrauma : prevention, managing [mountain-and-expedition-medicine.be]

  • Shivering

    […] hyperglycemia, and free radical accumulation causing injury to the myocardium. [8], [24], [29], [30], [31], [32] Clinical features can be localized (pain, hyperemia, edema, and numbness) and systemic effects (hyperthermia, nausea and vomiting, tachycardia, shivering [amhsjournal.org]

    Campos [ 14 ] also reports on severe manifestations on a human adult envenomed by C. margaritatus in Playas, province of Guayas, who experienced vomiting, intense dyspnea, shivering, and numbness of the tongue [ 14 ]. [jvat.biomedcentral.com]

  • Rigor

    Here, we address the difficulties associated with measuring sexual dimorphism and character scaling through rigorous analyses of morphological variation in the desert hairy scorpion, Hadrurus arizonensis. [journals.plos.org]

Respiratoric

  • Tachypnea

    Factors usually associated with the diagnosis of pulmonary edema were young age, tachypnea, agitation, sweating, or the presence of high plasma protein concentrations. [ncbi.nlm.nih.gov]

    Sympathetic signs are as follows: Hyperthermia Tachypnea Tachycardia Hypertension Arrhythmia Hyperkinetic pulmonary edema Hyperglycemia Diaphoresis Piloerection Restlessness and apprehension Hyperexcitability and convulsions Parasympathetic signs are [emedicine.medscape.com]

    Early systemic effects includes : 1) Sweating 2) Pallor (paleness of skin) 3) Tachypnea ( fast breathing ) 4) tachycardia (fast heart beat) 5) hypertension (heightened blood pressure) 6) salivation (uncontrolled saliva production) with frothy sputum 7 [members.tripod.com]

    Respiratory manifestations: O Tachypnea, respiratory distress, wheezes and crepitations. O Acute pulmonary edema ,either cardiogenic (due to sudden severe after load effect) or non- cardiogenic (due to chemical mediators liberation). 8. [slideshare.net]

  • Respiratory Disorders

    Neurological, cardiovascular and respiratory disorders were uncommon. The global mortality recorded was 10 per 1000 cases. In conclusion, we propose that this information is beneficial for health education and prevention of scorpion sting cases. [ncbi.nlm.nih.gov]

Cardiovascular

  • Cyanosis

    Anaphylaxis may be a likely contributor as well Late symptoms are : 1) Altered sensorium (changed sensory perception) 2) cyanosis (turns purple) 3) hypotension (low blood pressure) 4) bradycardia (slow heart rate) 5) incontinence (cannot control urine [members.tripod.com]

    Systemic Manifestations General and metabolic manifestations: • Fever, conjunctival congestion, sweating, dehydration, peripheral cyanosis and cold extremities (2ry to peripheral vasospasm caused by catecholamine) and priapism. • Metabolic effects: Hyperkalaemia [slideshare.net]

Eyes

  • Miosis

    The other neurological signs observed were: agitation in 709 patients (74.6%), squint in 119 patients (12.5%), bilateral miosis in 43 patients (5%), and a bilateral mydriasis in 16 patients (1.7%). [ncbi.nlm.nih.gov]

    Parasympathetic signs are as follows: Bronchoconstriction Bradycardia Hypotension Salivation, lacrimation, urination, diarrhea, and gastric emesis (SLUDGE) Rhinorrhea and bronchorrhea Goose pimple skin Loss of bowel and bladder control Priapism Dysphagia Miosis [emedicine.medscape.com]

Musculoskeletal

  • Muscle Twitch

    Advanced symptoms are : 1) muscle twitching (myoclonus?) 2) motor hyperactivity 3) incoordination (ataxia?) [members.tripod.com]

    Poisoning caused by cholinesterase inhibitors Organophosphate as well ascarbamate poisoning and scorpion envenoming can cause a state of anxiety and restlessness, muscle twitching, increased oro-pharyngeal secretions, decrease in motor power, raised blood [cmej.org.za]

Neurologic

  • Irritability

    Most of the complications of SE are due to irritability of the central and peripheral nervous systems. [ncbi.nlm.nih.gov]

    This case report describes a 17-month-old girl brought to the emergency department with sudden onset irritability, twitching and sweating. [thepoisonreview.com]

    Intravenous diazepam 0.3 mgm/kg was occasionally used to treat children with severe irritability or convulsion. [annsaudimed.net]

    Hypersensitivity to tactile stimuli e.g. your clothing or bedding become irritating to your skin. Sometimes you also become extremely sensitive to noise. Lack of co-ordination with stiff-legged or ‘drunken’ walking. [health24.com]

    Victims having envenomed by a scorpion suffer a variety of pathologies, including mainly both sympathetic and parasympathetic stimulation and central manifestations such as irritability, hyperthermia, vomiting, profuse salivation, tremor, and convulsion [link.springer.com]

  • Slurred Speech

    speech 13)dysphagia (cannot swallow properly) 14)pharyngeal spasm (cannot control much of the mouth) 15)drowsiness Many of the symptoms are sometimes due to or aggravated by victim's shock and anxiety. [members.tripod.com]

    • Tinnitus and slurred speech. Other neurologic dysfunction: • Involuntary movements. • Agitation, restlessness, and confusion. • Malignant hyperthermia. 9. Gastrointestinal manifestations: O Excessive salivation. O Vomiting, diarrhea. [slideshare.net]

    speech Same as Grade I/II PLUS consider the following: IV benzodiazepine infusion Centruroides antivenom, if available IV Both cranial nerve AND skeletal muscle dysfunction Same as Grade III In the time before antivenom, morbidity and mortality in severe [aliem.com]

    (CN II, IV, VI) slurred speech (CN V, VII, X, XII) tongue fasciculations (brief, spontaneous contractions of muscle fibers)(CN XII) hypersalivation (CN IX, X). [journals.lww.com]

  • Dizziness

    Common symptoms of spider bites include: Swelling at the site of the bite Swelling of the entire face, a condition called angioedema Difficulty breathing Wheezing Weakness or dizziness that results in disorientation A slow or weakened pulse Loss of consciousness [vetmedaz.com]

    […] observed) Breathing difficulties; absence of breathing Irregular heart rate Urination difficulties; reduced urine level Blurring of vision, rapid eye movement Increased salivation from the mouth Diarrhea Stomach or abdominal pain Feeling restless and dizzy [dovemed.com]

    The victim complained of exhaustion, dizziness, headache and pain. [scielo.br]

    Patients n (%) Local symptoms Pain in the sting region 98 (100%) Edema in the sting region 30 (30.6%) Local numbness 8 (8.2%) Systemic symptoms Pain in the whole body 12 (12.2) Fever 9 (9.2%) Numbness in the whole body 8 (8.2%) Nausea and vomiting 7 (7.1%) Dizziness [alliedacademies.org]

    The general symptoms more often reported were dry mouth, thirst, dizziness, nausea, fever and vomiting, and other symptoms associated with stimulation of sympathetic and parasympathetic systems. [ncbi.nlm.nih.gov]

Workup

Serum

  • Glucose Increased

    Further tests included hourly readings of blood pressure, heart rate, oxygen saturation, body temperature and blood glucose over the next six hours. [scielo.br]

Treatment

Symptomatic treatment has been practiced earlier that failed to relieve the toxic effects of the venom. [ncbi.nlm.nih.gov]

Mexican Scorpions and the Treatment of Scorpion Sting 1912 - The Boston Medical and Surgical Journal In-text: (MILLS, 1912) Your Bibliography: MILLS, L. (1912). Mexican Scorpions and the Treatment of Scorpion Sting. [citethisforme.com]

A review article about the medical significance of scorpions, and the treatment of serious cases. In german. [ntnu.no]

Prognosis

The aim of this study was to evaluate the effects of antivenin and/or prazosin use on prognosis of scorpion-envenomed children admitted to pediatric intensive care unit (PICU). [ncbi.nlm.nih.gov]

Etiology

OBJECTIVES: Though scorpion envenomation is known to lead to acute myocarditis and a reversible decrease in left ventricular function, it has not been implicated as an etiological factor in idiopathic dilated cardiomyopathy. [ncbi.nlm.nih.gov]

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

In this study, etiological factors and treatments are discussed in a four year old boy that died due to a scorpion sting. [scinapse.io]

Etiology The causes of scorpion envenomation are primarily accidental. Scorpions are shy creatures and only sting if threatened, cornered, or disturbed (eg, being sat or stepped upon). [emedicine.medscape.com]

Macrophage recruitment into adipose tissue plays a key role in the etiology of diet-induced insulin resistance [24]. [journals.plos.org]

Epidemiology

Website WHO IRIS: Scorpion sting syndrome: epidemiology, clinical presentation and management of 2240 cases 2016 In-text: (Apps.who.int, 2016) Your Bibliography: Apps.who.int. (2016). [citethisforme.com]

OBJECTIVE: The aim of this study was to define the epidemiological, clinical, and laboratory manifestations of scorpion envenomation and to identify factors that are predictive of severe cases. [ncbi.nlm.nih.gov]

Epidemiology of scorpionism: a global appraisal. Acta Trop. 2008;107:71–79. 4. Pardal PP, Castro LC, Jennings E, Pardal JS, Monteiro MR. Epidemiological and clinical aspects of scorpion envenomation in the region of Santarém, Pará, Brazil. [tiptiktak.com]

The monitoring and evaluation activities are carried out by epidemiological indicators through the implementation of an information system based in the services of Epidemiology, INSP (National Institute of Public Health) and Prevention Department of the [unboundmedicine.com]

Abstract Introduction: The study was aimed to describe our experience with epidemiological characteristics, management options, and outcome of scorpion envenomation in children. [jmscr.igmpublication.org]

Pathophysiology

KEYWORDS: cytokines; inflammation; pathophysiology; scorpion envenomation [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]

Ausgewählte Seiten Seite 44 Seite 28 Seite 34 Seite 45 Seite 62 Inhalt Scorpion Antivenom 22 Cardiovascular Manifestations 39 Pathophysiology of Clinical Signs 75 Summary 102 Index 125 Urheberrecht Häufige Begriffe und Wortgruppen 24 hours action acute [books.google.de]

Prevention

We assessed the preventive and curative effects of scorpion antivenom by prevention of worsening grade or by improvement from grade II to grade I. [ncbi.nlm.nih.gov]

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