Fatal ischemic stroke following Tityus serrulatus scorpion sting in a patient with essential thrombocythemia
| Autor: | Carla Borrasca Fernandes, Fábio Bucaretchi, Stephen Hyslop, Thiago M Santos, Eduardo Mello De Capitani, Igor Aloísio Garcez Zamilute |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
0301 basic medicine medicine.medical_specialty Tityus serrulatus Scorpion Venoms Context (language use) Scorpion stings Toxicology complex mixtures Brain Ischemia Scorpions 03 medical and health sciences Fatal Outcome 0302 clinical medicine Risk Factors hemic and lymphatic diseases Internal medicine medicine Animals Humans cardiovascular diseases Envenomation Stroke Scorpion Stings biology Antivenins Essential thrombocythemia business.industry General Medicine biology.organism_classification medicine.disease eye diseases Sting 030104 developmental biology Anesthesia Cardiology Female Tomography X-Ray Computed business 030217 neurology & neurosurgery Thrombocythemia Essential |
| Zdroj: | Clinical Toxicology. 54:867-870 |
| ISSN: | 1556-9519 1556-3650 |
| Popis: | Stroke following scorpion stings is rare. We report a fatal envenomation involving multiple, extensive brain infarcts in a patient with a previous diagnosis of essential thrombocythemia (ET) who was stung by Tityus serrulatus (T. serrulatus).A 44-year-old woman with a diagnosis of low-risk ET (platelets1,000,000/mmSeveral mechanisms have been proposed to explain stroke following scorpion stings, such as sympathetic stimulation, myocardial dysfunction, hypotension/shock, arrhythmias and coagulopathy. Ischemic stroke is one of the most serious complications of ET. The risk factors for thrombotic/ischemic events in patients with ET include age (≥60 years) and previous vascular events. Severe scorpion envenomation resulting in myocardial dysfunction and systemic inflammatory response syndrome may increase the overall risk of arterial thrombosis in this patient. |
| Databáze: | OpenAIRE |
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