Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8938
Title: Scorpion-related cardiomyopathy and acute pulmonary edema in a child who is stung by Leiurus abdullahbayrami
Authors: Dokur, M.
Doğan, Mustafa
Yagmur, E.A.
Keywords: Cardiomyopathy
Leiurus
Pulmonary edema
Scorpionism
alanine aminotransferase
antithrombocytic agent
aspartate aminotransferase
dextran
digoxin
diuretic agent
dobutamine
dopamine
enalapril
enoxaparin
furosemide
inotropic agent
morphine sulfate
acrocyanosis
artery flow rate
Article
cardiogenic pulmonary edema
cardiomyopathy
cardiovascular parameters
child
clinical article
clinical feature
confusion
crystalloid
cyanosis
Doppler ultrasonography
dyspnea
echocardiography
emergency ward
envenomation
flow rate
fractional shortening
Glasgow coma scale
hallucination
heart ejection fraction
heart failure
human
hypotension
leiurus
Leiurus abdullahbayrami
leukocyte count
lung edema
male
medical examination
mitral valve regurgitation
outcome assessment
oxygen therapy
pediatric intensive care unit
pupil reflex
respiratory distress
school child
scorpion related cardiomyopathy
scorpion sting
single drug dose
tachycardia
thorax radiography
tricuspid valve regurgitation
Publisher: Emergency Medicine Association of Turkey
Abstract: Venom of Leiurus abdullahbayrami (Scorpiones: Buthidae) is an extremely toxic one and it stimulates voltage-gated sodium and potassium channels. In case of a stung by this scorpion; excessive catecholamine release occur and it impairs left ventricle contractility and consequently a heart failure occurs (scorpion sting-related cardiomyopathy). In addition to this cardiac-induced acute pulmonary, edema may occur in severe cases too. An 11-year-old male child who was stung by a scorpion (species: Leiurus abdullahbayrami) consulted to the Emergency Room. Even after 7 h of scorpion envenomation he was confused and having hallucinations. Besides he was dyspneic, tachycardic, hypotensive and got worse in overall situation due to cardiogenic pulmonary edema. These clinical findings are concordant with the Level III scorpion envenomation (major systemic manifestations). Positive inotropic agents, diuretics and antiagregant agents used on supportive therapy in his treatment. After 2 weeks he get recovered and discharged from the pediatric intensive care unit. This research is conducted by thinking emergency physicians should learn that Leiurus abdullahbayrami envenomation can cause scorpion-related cardiomyopathy and acute pulmonary edema especially in children. © 2017 The Emergency Medicine Association of Turkey
URI: https://hdl.handle.net/11499/8938
https://doi.org/10.1016/j.tjem.2016.12.005
ISSN: 2452-2473
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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