Lira-da-Silva R M, Amorim A M, Brazil T K
Laboratório de Animais Peçonhentos, Departamento de Zoologia, Instituto de Biologia, Universidade Federal da Bahia, Salvador, BA, Brasil.
Rev Soc Bras Med Trop. 2000 May-Jun;33(3):239-45. doi: 10.1590/s0037-86822000000300001.
The present investigation is a descriptive study regarding the clinical aspects of accidents caused by the scorpion Tityus stigmurus in Bahia, Brazil. We analyzed 237 confirmed cases treated by the Antivenom Information Centre (CIAVE) from 1982 to 1995. Envenomation by T. stigmurus was mainly characterized by local symptoms: pain (94.4%), dormancy (30.0%), edema (17.8%), erythema (17.8), paresthesia (15.6%) and general manifestations such as headache (4.4%), vomiting (4.4%) and sudoresis (3.3%). Most of the envenomation cases were mild (94%) and all were successfully cured. Although T. stigmurus venom is not in the pool of anti-venom serum (SAE), the absence of lethality and benign nature of the cases suggest the efficiency of SAE. With the exception of deaths and systemic complications, envenoming gravity was similar to those of Tityus serrulatus.
本研究是一项关于巴西巴伊亚州由蝎子Tityus stigmurus引起的事故临床情况的描述性研究。我们分析了1982年至1995年期间抗蛇毒血清信息中心(CIAVE)治疗的237例确诊病例。T. stigmurus蜇伤的主要特征为局部症状:疼痛(94.4%)、麻木(30.0%)、水肿(17.8%)、红斑(17.8%)、感觉异常(15.6%)以及全身表现,如头痛(4.4%)、呕吐(4.4%)和出汗(3.3%)。大多数蜇伤病例为轻度(94%),且全部成功治愈。尽管T. stigmurus毒液不在抗蛇毒血清(SAE)的范围内,但病例无致死性且性质良性,提示了SAE的有效性。除死亡和全身并发症外,中毒严重程度与Tityus serrulatus的情况相似。