Severe scorpion envenomation in children: Management in pediatric intensive care unit

Human and Experimental Toxicology

Volumn 28, Issue 11, 2009, Pages 721-728

  Bosnak, Mehmet ^a   Levent Yilmaz, Hayri ^b   Ece, Aydin ^a   Yildizdas, Dincer ^b   Yolbas, Ilyas ^a   Kocamaz, Halil ^a   Kaplan, Metin ^c   Bosnak, Vuslat ^d  

^a DICLE UNIVERSITY SCHOOL OF MEDICINE   (Turkey)

^b CUKUROVA UNIVERSITY   (Turkey)

^c Dicle University Medical School   (United Kingdom)

^d Diyarbakir Devlet Hastanesi   (Turkey)

Author keywords

Antivenin; Children; PICU; Prazosin; Prognosis; Scorpion stings

Indexed keywords

CREATINE KINASE; DOBUTAMINE; DOPAMINE; GLUCOSE; LACTATE DEHYDROGENASE; NITROPRUSSIDE SODIUM; PRAZOSIN; SCORPION VENOM; VENOM ANTISERUM;

ADOLESCENT; ANDROCTONUS CRASSICAUDA; ARTICLE; ARTIFICIAL VENTILATION; CAUSE OF DEATH; CHILD; CLINICAL ARTICLE; CLINICAL EXAMINATION; COLD LIMB; CONTROLLED STUDY; CREATINE KINASE BLOOD LEVEL; DISEASE SEVERITY; DISEASE SURVEILLANCE; DRUG DOSE REDUCTION; DRUG EFFECT; DRUG WITHDRAWAL; DYSPNEA; ENVENOMATION; FEMALE; FOLLOW UP; GLUCOSE BLOOD LEVEL; HOSPITAL ADMISSION; HUMAN; HYPERSALIVATION; HYPERTENSION; HYPOTENSION; INFANT; INSECT STING; INTENSIVE CARE UNIT; INTERNATIONAL NORMALIZED RATIO; LABORATORY DIAGNOSIS; LACTATE DEHYDROGENASE BLOOD LEVEL; LEUKOCYTE COUNT; LUNG EDEMA; MALE; MEDICAL RECORD REVIEW; PAIN; PALLOR; PATIENT MONITORING; PRESCHOOL CHILD; PRIAPISM; PRIORITY JOURNAL; PROGNOSIS; RESPIRATORY DISTRESS; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; RURAL AREA; SCHOOL CHILD; SCORPION; SEX RATIO; SWEATING; TACHYCARDIA; UNCONSCIOUSNESS; VITAL SIGN;

ADOLESCENT; ANIMALS; ARACHNIDISM; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; INTENSIVE CARE UNITS, PEDIATRIC; MALE; RETROSPECTIVE STUDIES; SCORPIONS; TURKEY;

ANDROCTONUS CRASSICAUDA; SCORPIONES;

EID: 70450215235     PISSN: 09603271     EISSN: 14770903     Source Type: Journal    
DOI: 10.1177/0960327109350667     Document Type: Article

References (35)

1. Abroug F., ElAtrous S., Nouira S., Haguiga H., Touzi N., Bouchoucha S. Seroterapy in scorpion envenomation: a randomised controlled trial. Lancet 1999 ; 354: 906-909.
2. de Roodt AR, Garcia SI, Salomon OD, et al. Epidemiological and clinical aspects of scorpionism by Tityus trivittatus in Argentina. Toxicon 2003 ; 41: 971-977.
3. Meki AA, Mohamed ZM, Mohey El-deen HM Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children. Toxicon 2003 ; 41: 129-137.
4. Ismail M. The scorpion envenoming syndrome. Toxicon 1995 ; 33: 825-858.
5. Ozkan Ö., Uzun R., Adgzel S., Cesaretli Y., Ertek M. Evaluation of scorpion sting incidence in Turkey. J Venom Anim Toxins incl Trop Dis 2008 ; 14: 128-140.
6. Mahadevan S. Scorpion sting. Indian Pediatr 2000 ; 37: 504-514.
7. Abroug F., Ayari M., Nouira S., et al. Assessment of left ventricular function in severe scorpion envenomation in a combined haemodynamic and echo Doppler study. Int Care Med 1995 ; 21: 629-635.
8. Biswal N., Charan MV, Betsy M., Mahadevan S. Management of scorpion envenomation. Pediatr Today 1999 ; 2: 420-426.
9. Bawaskar HS, Bawaskar PH Indian red scorpion envenoming. Indian J Pediatr 1998 ; 65: 383-391.
10. Bawaskar HS, Bawaskar PH Severe envenoming by Indian red scorpion M. tamulus - the use of Prazosin therapy. Quart J Med 1996 ; 89: 701-704.
11. Özkan O., Uzun R., Adgzel S., Cesaretli Y., Ertek M. Evaluation of scorpion sting incidence in Turkey. J Venom Anim Toxins incl Trop Dis 2008 ; 14: 128-140.
12. Dittrich K., Power AP, Smith NA Scorpion sting syndrome a ten year experience. Ann Saudi Med 1995 ; 15: 148-155.
13. Radmanesh M. Androctonus crassicauda sting and its clinical study in Iran. J Trop Med Hyg 1990 ; 93: 323-326.
14. Al-Sadoon MK, Jarrar BM Epidemiological study of scorpion stings in Saudi Arabia between 1993 and 1997. J Venom Anim Toxins 2003 ; 9: 54-64.
15. Hisham Mahaba MA Scorpion sting syndrome: epidemiology, clinical presentation and management of 2240 cases. East Mediterr Health J 1997 ; 3: 82-99.
16. Chippaux JP, Goyffon M. Epidemiology of scorpionism: a global appraisal. Acta Trop 2008 ; 107: 71-79.
17. Farghly WM, Ali FA A clinical and neurophysiological study of scorpion envenomation in Assiut, Upper Egypt. Acta Paediatr 1999 ; 88: 290-294.
18. Adiguzel S., Ozkan O., Inceoglu B. Epidemiological and clinical characteristics of scorpionism in children in Sanliurfa, Turkey. Toxicon 2007 ; 49: 875-880.
19. Pardal PP, Castro LC, Jennings E., et al. Epidemiological and clinical aspects of scorpion envenomation in the region of Santaren, Para, Brasil. Rev Soc Bras Med Trop 2003 ; 36: 349-353.
20. Amaral CF, Barbosa AJ, Leite VH, Tafuri WL, de Rezende NA Scorpion sting-induced pulmonary oedema: evidence of increased alveolocapillary membrane permeability. Toxicon 1994 ; 32: 999-1003.
21. Gueron M., Illia R., Margulia G. Arthropod poisons and the cardiovascular system. Am J Emerg Med 2000 ; 18: 708-714.
22. Bouaziz MF, Bahloul M., Hergafi L., et al. Factors associated with pulmonary edema in severe scorpion sting patients - a multivariate analysis of 428 cases. Clin Toxicol (Phila) 2006 ; 44: 293-300.
23. Bawaskar HS, Bawaskar PH Prazosin therapy and scorpion envenomation. J Assoc Physicians India 2000 ; 48: 1175-1180.
24. Freire-Maia L. Peripheral effects of Tityus serrulatus scorpion venom. Toxin Rev 1995 ; 14: 423-435.
25. Mazzei de Dávila CA, Dàvila DF, Donis JH, de Bellabarba GA, Villarreal V., Barboza JS Sympathetic nervous system activation, antivenin administration and cardiovascular manifestations of scorpion envenomation. Toxicon 2002 ; 40: 1339-1346.
26. Celis A., Gaxiola-Robles R., Sevilla-Godínez E., Orozco Valerio Mde J., Armas J. Trends in mortality from scorpion stings in Mexico, 1979-2003. Rev Panam Salud Publica 2007 ; 21: 373-380 [in Spanish].
27. Ozkan O., Adgzel S., Nceoglu B., Lango J., Ertek M., Hammock BD Evaluation of the neutralizing capacity of Androctonus crassicauda (Olivier, 1807) antivenom against Leiurus quinquestriatus (Ehrenberg, 1928) venom (Scorpiones:Buthidae). J Venom Anim Toxins incl Trop Dis 2008 ; 14: 481-496.
28. Bawaskar HS, Bawaskar PH Utility of scorpion antivenin vs prazosin in the management of severe Mesobuthus tamulus (Indian red scorpion) envenoming at rural setting. J Assoc Physicians India 2007 ; 55: 14-21.
29. Bawaskar HS, Bawaskar PH Clinical profile of severe scorpion envenomation in children at rural setting. Indian Pediatr 2003 ; 40: 1072-1075.
30. Riley BD, LoVecchio F., Pizon AF Lack of scorpion antivenom leads to increased pediatric ICU admissions. Ann Emerg Med 2006 ; 47: 398-399.
31. Ozay G., Bosnak M., Ece A., et al. Clinical characteristics of children with snakebite poisoning and management of complications in the pediatric intensive care unit. Pediatrics Int 2005 ; 47: 669-675.
32. Sofer S., Shahak E., Solnim A., Gueron M. Myocardial injury without heart failure following envenomation by the scorpion L. quinquestriatus in children. Toxicology 1991 ; 3: 383-385.
33. Bahloul M., Rekik N., Chabchoub I., et al. Neurological complications secondary to severe scorpion envenomation. Med Sci Monit 2005 ; 11: 196-202.
34. Biswal N., Bashir RA, Murmu UC, Mathai B., Balachander J., Srinivasan S. Outcome of scorpion sting envenomation after a protocol guided therapy. Indian J Pediatr 2006 ; 73: 577-582.
35. Soker M., Haspolat K. Scorpion sting in children in southeast of Turkey: a review of 64 cases. Cocuk Sagligi ve Hastaliklari Dergisi 2000 ; 43: 43-50.