Aspectos epidemiológicos e clínicos do escorpionismo na região de Santarém, Estado do Pará, Brasil

Abstract

This is a descriptive and prospective study on epidemiological and clinical aspects of 72 scorpion accidents admitted to Santarém Municipal Hospital, state of Pará, Brazil, from February 2000 to February 2001. Only 8.3% brought the animal with them, identified as T. cambridgei. The majority of victims were male (83.3%). The mean age and the time of the medical help were respectively 33.6±18.3 years and 4.6±3.2 hours. The parts of the body most affected were the superior members (51.5%). Local symptoms occurred in 91.7% cases and systemic manifestations in 98.6% of the accidents. The local symptoms included: paresthesia in 79.2% cases, pain in 52.8% and edema in 26.4%. Among the systemic manifestations neurological disorders predominated in 97.2%, and the symptom of "electric shock" occurred in 88.9% patients. The most common neurological signs were: myoclonia (93%), dysmetria (86.1%), dysarthria (80.6%), and ataxia (70.8%). The accidents were classified as moderate in 76.4% without any serious cases. The specific anti-venom serum was not administered in 32.7% of the moderate cases, due to non-availability of the anti-venom serum at the time of attendance. The victims of scorpion envenomation notified at Santarém, present a different clinical and regional behavior from previous reports in Brazil and Amazonia regions. The predominantly neurological picture has not previously been described in the Brazilian literature.

Scorpion stings in Turkey: epidemiological and clinical aspects between the years 1995 and 2004

“…The most common symptoms reported were localized pain, edema, hyperemia, swelling, burning, numbness and itching, and the systemic symptoms were a dry mouth, thirst, sweating, hypotension, hypertension, cramps and shivering, nausea, vomiting, difficulty in breathing, tachycardia, sialorrhoea, restlessness, hemolyticuremic syndrome, cyanosis, cardiac failure and/or acute pulmonary edema and death 3,6,7,10,23,24,27,28,31,36 . Scorpion stings can cause similar clinic manifestations in many countries of Central and South America, North Africa, the Middle East and Asia 5,9,13,21,30,37,38 . In our study, the most common symptoms reported were: localized pain (47.58%), hyperemia (24.14%), edema (23.45%) and numbness (6.21%).…”

Evaluation of scorpion sting incidence in turkey

“…Among these, the most important species are T. serrulatus, T. bahiensis, T. stigmurus and T. trivittatus in South America; (2,8,33,36); C. suffusus, C.…”

Escorpionismo em crianças e adolescentes: aspectos clínicos e epidemiológicos de pacientes hospitalizados

“…Entre as várias manifestações neurológicas registradas após picadas de escorpião, existem relatos de dismetria, ataxia de marcha e mioclonias 11 , contraturas musculares 5 8 9 e disartria 9 10 . A pesquisa de tais manifestações na população pediátrica é comprometida pelas características próprias dessa faixa etária.…”