title: Neurologic Complications in Children With Scorpionism: A Retrospective Study in Upper Egypt.
abstract: Scorpion envenomation is a life-threatening health problem in tropical and subtropical regions, particularly among children. The aim of this study was to describe the epidemiologic characteristics, clinical profile, and prognosis of neurologic complications among children with scorpionism in Upper Egypt. In this retrospective study, the neurologic complications of scorpionism in 2 university hospitals were analyzed from the points of epidemiologic and clinical picture and outcomes. The neurologic manifestations were found at a high percentage (85%). Irritability was the main manifestation (83.4%), followed by sweating (81.5%), hyperthermia (33.6%), and priapism (48.2% of males). Moreover, convulsion and coma were found in 14.7% and 11% of children, respectively. Neurologic manifestations were common in children with scorpionism and they correlated with poor outcome. Identification of epidemiologic and clinical features of central nervous system complications of scorpionism in children provide important data, helping in development of management policies aiming at preventive control of scorpionism and decrease its mortality.
authors.affiliation: 1 Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Khaled
authors.initials: K
authors.lastname: Saad
authors.affiliation: 2 Department of Neurology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Mohamed A Abd
authors.initials: MAA
authors.lastname: El-Hamed
authors.affiliation: 3 Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
authors.forename: Mohamed Gamil M
authors.initials: MGM
authors.lastname: Abo-Elela
authors.affiliation: 3 Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
authors.forename: Ahmed E
authors.initials: AE
authors.lastname: Ahmed
authors.affiliation: 3 Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
authors.forename: Khaled A
authors.initials: KA
authors.lastname: Abdel-Baseer
authors.affiliation: 4 Department of Pediatrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
authors.forename: Mohamed Diab
authors.initials: MD
authors.lastname: Aboul-Khair
authors.affiliation: 1 Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Kotb Abbass
authors.initials: KA
authors.lastname: Metwalley
authors.affiliation: 5 Department of Community Health Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt.
authors.forename: Amira A
authors.initials: AA
authors.lastname: El-Houfey
authors.affiliation: 1 Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Gamal M
authors.initials: GM
authors.lastname: Hasan
authors.affiliation: 6 Department of Neurology, Faculty of Medicine, Menofiya University, Menofiya, Egypt.
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: El-Shareef
mesh_terms: D000293:Adolescent; D001831:Body Temperature; D002648:Child; D002675:Child, Preschool; D004534:Egypt / Q000453:epidemiology; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D009422:Nervous System Diseases / Q000150:complications* / Q000453:epidemiology*; D012189:Retrospective Studies; D065008:Scorpion Stings / Q000150:complications* / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy
keywords: children; epidemiology; neurologic complications; neurologic manifestations; scorpion