Cardiovascular dysfunction and pulmonary edema secondary to severe envenoming by Tityus pachyurus sting. Case report.
The scorpion envenomation is considered the second event by poisonous animals in importance around the world according to the World Health Organization. In Colombia there are 35 species of clinical significance, among them, the genus Tityus, which contains the most deadly scorpions in South America and is represented by 29 species of wide distribution in Colombia, which include Tityus pachyurus causing life-threatening events, especially in children. The present work shows the case of a 12 years old boy, from Tolemaida to 2 h of Bogotá D.C., who was stung by a scorpion on his right thigh, with the onset of intense signs and symptoms of local effect rapidly progressing to severe systemic involvement causing myocardial dysfunction, cardiovascular collapse and heart arrest, and his favorable response to adequate basic and advanced life support and use of scorpion-specific F(ab')2 antivenom.
Pediatric Intensive Care Unit, Hospital Militar Central, Bogotá D.C., Colombia.
Ledys María
LM
Izquierdo
Javier R
JR
Rodríguez Buitrago
D000818:Animals; D000997:Antivenins / Q000627:therapeutic use*; D002648:Child; D004298:Dopamine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006323:Heart Arrest / Q000139:chemically induced* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008297:Male; D009599:Nitroprusside / Q000627:therapeutic use; D011224:Prazosin / Q000627:therapeutic use; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000188:drug therapy / Q000503:physiopathology; D065008:Scorpion Stings / Q000139:chemically induced* / Q000188:drug therapy; D012604:Scorpion Venoms / Q000506:poisoning*; D012605:Scorpions / Q000502:physiology; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000503:physiopathology; D016896:Treatment Outcome
D000997:Antivenins; D012604:Scorpion Venoms; D009599:Nitroprusside; D004298:Dopamine; D011224:Prazosin