Cavari Yuval, Lazar Isaac, Shelef Ilan, Sofer Shaul
Pediatric Intensive Care Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University-Negev, Beer Sheva, Israel.
Wilderness Environ Med. 2013 Mar;24(1):23-7. doi: 10.1016/j.wem.2012.09.009. Epub 2012 Dec 29.
We report the case of a 2-year-old Bedouin boy in whom developed severe and unusual complications after being stung, most probably, by the yellow scorpion Leiurus quinquestriatus hebraeus. Five hours after arrival to the emergency department, the boy had multisystem organ failure involving the central nervous system (seizure activity followed by coma with dilated, nonreactive pupils, and severe brain edema), shock (noncardiogenic), disseminated intravascular coagulation, renal failure, hepatic failure, and watery diarrhea, causing his death. In view of the relevant literature, we discuss the pathophysiologic events ultimately leading to his death.
我们报告了一名2岁贝都因男孩的病例，他在被蝎子蜇伤后，很可能是被以色列金蝎蜇伤，出现了严重且异常的并发症。到达急诊科5小时后，该男孩出现多系统器官衰竭，累及中枢神经系统（先是癫痫发作，随后昏迷，瞳孔散大、无反应，伴有严重脑水肿）、休克（非心源性）、弥散性血管内凝血、肾衰竭、肝衰竭和水样腹泻，最终导致死亡。鉴于相关文献，我们讨论了最终导致其死亡的病理生理过程。
