Scorpion-related cardiomyopathy and acute pulmonary edema in a child who is stung by Leiurus abdullahbayrami
No Thumbnail Available
Date
2017
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
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
Description
Keywords
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