Albuquerque Polianna Lemos Moura Moreira, Magalhaes Karla do Nascimento, Sales Tamiris de Castro, Paiva José Hícaro Hellano Gonçalves Lima, Daher Elizabeth de Francesco, Silva Junior Geraldo Bezerra da
Fortaleza, Programa de Pós-Graduação em Ciências Médicas, Universidade Federal do Ceará, Ceará, Brazil.
Centro de Informação e Assistência Toxicológica, Instituto Dr. José Frota, Fortaleza, Ceará, Brazil.
Rev Inst Med Trop Sao Paulo. 2018;60:e30. doi: 10.1590/s1678-9946201860030. Epub 2018 Jun 28.
Despite the high number of accidents due to scorpion stings in Brazil, severe cases in adults are seldomly reported. In the Northeast region of Brazil, Tityus stigmurus is the most prevalent species. A 69 year-old woman who was stung by a scorpion attended the emergency room 5 hours after envenomation. She got worse due to abdominal pain. Clinical findings were concordant with class III scorpion envenomation (major systemic manifestations), complicated by acute kidney injury and acute pancreatitis. Intensive supportive therapy was adopted. In the follow-up, 3 months later, she was completely recovered. This report is being brought to recommend the thorough management of victims of scorpion accidents, enabling early diagnosis of severe complications, which could lead to death if aggressive supportive measures are not early and adequately taken.
尽管巴西因蝎子蜇伤导致的事故数量众多，但成人严重病例却鲜有报道。在巴西东北部地区，巴西金幽灵蝎是最常见的种类。一名69岁的女性被蝎子蜇伤后，在中毒5小时后前往急诊室。她因腹痛病情加重。临床检查结果与III级蝎子中毒（主要全身表现）相符，并伴有急性肾损伤和急性胰腺炎。采取了强化支持治疗。在随访中，3个月后，她完全康复。本报告旨在建议对蝎子蜇伤受害者进行全面管理，以便早期诊断严重并发症，若不及时且充分地采取积极支持措施，这些并发症可能导致死亡。
