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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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