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

Autor: Albuquerque PLMM; Fortaleza, Programa de Pós-Graduação em Ciências Médicas, Universidade Federal do Ceará, Ceará, Brazil., Magalhaes KDN; Centro de Informação e Assistência Toxicológica, Instituto Dr. José Frota, Fortaleza, Ceará, Brazil., Sales TC; Centro de Informação e Assistência Toxicológica, Instituto Dr. José Frota, Fortaleza, Ceará, Brazil., Paiva JHHGL; Faculdade de Medicina, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil., Daher EF; Fortaleza, Programa de Pós-Graduação em Ciências Médicas, Universidade Federal do Ceará, Ceará, Brazil., Silva Junior GBD; Programas de Pós-Graduação em Saúde Coletiva e Ciências Médicas,, Curso de Medicina, Universidade de Fortaleza, Fortaleza, Ceará, Brazil.
Jazyk: angličtina
Zdroj: Revista do Instituto de Medicina Tropical de Sao Paulo [Rev Inst Med Trop Sao Paulo] 2018; Vol. 60, pp. e30. Date of Electronic Publication: 2018 Jun 28.
DOI: 10.1590/s1678-9946201860030
Abstrakt: 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.
Databáze: MEDLINE