Ischemic Stroke in a Child after a Probable Scorpion Sting
| Autor: | Carlos Sevcik, Amy Rao, Gina D'Suze, Nathan D. Gundacker, Laura Naranjo, José Antonio Suárez, Carlos Franco-Paredes, Fernando Carrillo-Villaseñor |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Antivenom Scorpion Short Report Scorpion Venoms Pulmonary Edema Scorpion stings complex mixtures Virology biology.animal medicine Humans Ischemic Stroke Scorpion Stings biology business.industry Antivenins medicine.disease Pulmonary edema eye diseases Sting Infectious Diseases Pancreatitis Emergency medicine Ischemic stroke Acute Disease Acute pancreatitis Parasitology business |
| Zdroj: | Am J Trop Med Hyg |
| ISSN: | 1476-1645 |
| Popis: | Scorpion stings are common emergencies in the tropics. Species-specific antivenom therapies are available. However, fatalities resulting from scorpion stings remain a public health concern in many settings. Children residing in rural towns and peri-urban areas represent the most vulnerable populations. Delays in the diagnosis of scorpion stings often occur as a result of the non-specific clinical presentations, which then lead to life-threatening complications. We report a 2-year-old Venezuelan boy presenting with acute pancreatitis and pulmonary edema without an identifiable cause 48 hours after his initial symptoms. We administered antivenom therapy when an undetected scorpion sting was suspected. Despite some initial clinical improvement with respect to his acute pancreatitis, pulmonary edema, and coagulation abnormalities, our patient experienced an ischemic stroke. Fortunately, our patient did demonstrate some neurological improvement. Although acute pancreatitis and pulmonary edema are known end-organ damage manifestations of the sting of Tityus in the Americas, our particular case illustrates the risk of ischemic stroke. |
| Databáze: | OpenAIRE |
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