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蝎子蜇伤后发生的缺血性中风

[Ischemic stroke following a scorpion sting].

作者信息

Elkhayari M, Hachimi A, Ziadi A, Abdenasser Samkaoui M

机构信息

Service de réanimation polyvalente, faculté de médecine et de pharmacie, université Cadi-Ayyad, CHU Mohammed VI, BP 511, avenue Abdelkrim-Khattabi, 40000 Marrakech, Maroc.

出版信息

Rev Neurol (Paris). 2013 Jun-Jul;169(6-7):519-22. doi: 10.1016/j.neurol.2012.10.010. Epub 2013 May 3.

Abstract

Scorpion envenomation is caused by an accidental scorpion sting. In its severe form, it involves life-threatening respiratory or cardiac damage; it may also cause the neurological severity of systemic manifestations. We report the case of a young 35-year-old woman stung by an Androctonus mauretanicus scorpion, who developed impaired consciousness, hemiplegia and respiratory distress. At admission, the brain computed tomography showed a hypodense area in the right parietal region; the chest radiograph revealed a bilateral alveolar syndrome. Troponin was elevated and hemostasis disorders were present. The clinical course was remarkable: cardiogenic shock with multiple organ failure followed by death on day 3. This case illustrates a rare complication of scorpion envenomation: ischemic stroke due to an undetermined mechanism, which in addition to the cardiac and respiratory injuries, led to the serious complications and fatal outcome.

摘要

蝎蜇伤是由意外的蝎子蜇刺引起的。严重的蝎蜇伤会导致危及生命的呼吸或心脏损伤;还可能引起全身表现的神经功能严重障碍。我们报告了一例35岁年轻女性被毛里塔尼亚杀人蝎蜇伤的病例,该患者出现意识障碍、偏瘫和呼吸窘迫。入院时,脑部计算机断层扫描显示右侧顶叶区域有低密度区;胸部X线片显示双侧肺泡综合征。肌钙蛋白升高且存在止血障碍。临床过程显著:发生心源性休克并伴有多器官功能衰竭,于第3天死亡。该病例说明了蝎蜇伤一种罕见的并发症:机制不明的缺血性中风,除心脏和呼吸损伤外,还导致了严重并发症和致命后果。

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