title: [Scorpion envenomation treated in the Infectious and Tropical Diseases at the Donka National Hospital, Guinea].
abstract: A retrospective descriptive study was conducted from 1(st) October 2010 to 30 November 2012 on the records of patients admitted for scorpion envenomation in the Department of Infectious and Tropical Diseases at the Donka National Hospital. The objective of this study is to describe the epidemiological profile and clinical characteristics of scorpion envenomation in Maritime Guinea, from scorpion stings recently covered in this service. We collected 75 cases of scorpion envenomation. The median age was 21.5 with interquartile 8 and 20 and sex ratio was 1.29. The upper limbs were involved in 55% of cases, followed by the lower limbs (35%), trunk (6%), head and neck (4%). We observed 63% of patients with local signs, 30% mild and general clinical signs of 7% severe systemic symptoms. All patients received an analgesic and a heterologous antitoxin, associated with an antibiotic (87% of patients), a corticosteroid (72%), diazepam (13%) and furosemide (34.6%). The incidence of scorpion envenomation is not negligible despite underreporting of cases, most often treated in traditional medicine.
authors.affiliation: Service des maladies infectieuses et tropicales de l'hôpital national Donka, Donka, République de Guinée, sakofb@yahoo.fr.
authors.forename: F B
authors.initials: FB
authors.lastname: Sako
authors.forename: E F
authors.initials: EF
authors.lastname: Bangoura
authors.forename: F A
authors.initials: FA
authors.lastname: Traoré
authors.forename: M M
authors.initials: MM
authors.lastname: Soumah
authors.forename: T M
authors.initials: TM
authors.lastname: Tounkara
authors.forename: R
authors.initials: R
authors.lastname: Djessanglar
authors.forename: H
authors.initials: H
authors.lastname: Baldé
authors.forename: O
authors.initials: O
authors.lastname: Baldé
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000992:Antitoxins / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D016701:Guinea / Q000453:epidemiology; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D016488:Medicine, African Traditional; D012189:Retrospective Studies; D065008:Scorpion Stings / Q000188:drug therapy / Q000453:epidemiology* / Q000628:therapy; D012605:Scorpions; D063189:Symptom Assessment; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D000700:Analgesics; D000900:Anti-Bacterial Agents; D000992:Antitoxins; D005665:Furosemide