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Type: Artigo de periódico
Title: A Comparative Study Of Severe Scorpion Envenomation In Children Caused By Tityus Bahiensis And Tityus Serrulatus.
Author: Bucaretchi F.
Baracat E.C.
Nogueira R.J.
Chaves A.
Zambrone F.A.
Fonseca M.R.
Tourinho F.S.
Abstract: From January 1984 to May 1994, 17 of 239 children under 15 years old stung by Tityus serrulatus (15.1%) or Tityus bahiensis (84.9%) presented severe envenoming. Of these 17 patients (1-11 years old; median = 2 yr) 14 were stung by T. serrulatus and three by T. bahiensis. All of them received scorpion antivenom i.v. at times ranging from 45 min. to 5 h after the accident (median = 2 h). 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 (4), hyperglycemia (17), leukocytosis (16/16), hypokalemia (13/17), increased CK-MB enzyme activity (> 6% of the total CK, 11/12), hyperamylasemia (11/14), sinusal tachycardia (16/17) and a myocardial infarction-like pattern (11/17). Six patients stung by T. serrulatus had depressed left ventricular systolic function assessed by means of echocardiography. Of these, five presented pulmonary edema and four had shock. A child aged two-years old presented severe respiratory failure and died 65 h after being stung by T. serrulatus. Severe envenomations caused by T. serrulatus were 26.2 times more frequent than those caused by T. bahiensis (p < 0.001).
Citation: Revista Do Instituto De Medicina Tropical De São Paulo. , v. 37, n. 4, p. 331 - 336, 1995.
Rights: aberto
Date Issue: 1995
Appears in Collections:Unicamp - Artigos e Outros Documentos

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