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Scorpion sting during pregnancy: A case report accompanied by literature

Year 2013, Volume: 35 Issue: 4, 605 - 607, 30.12.2013

Abstract

Envenomation is an unusual event in developed countries. Rural population who lives in arid climate is incur this danger. Scorpion sting is one of the envenomation. It is a major public health problem in many underdeveloped tropical countries. In Turkey, epidemiological studies have shown that most scorpion stings affect females. The highest incidence of scorpion stings was recorded for the warmest months of the year since scorpions become more active in the warm season. Diagnosis is obvious from the history. Also pain, erythema, induration, and wheal may be present at the sting point. In pregnancy envenoming is more dangerous but scorpion envenoming is less studied during gestation; however, it may induce various biological disturbances in maternal organism and on their fetuses. In this article the aim is bring on a subject for discussion on a case report.

References

  • Adiguzel S. In vivo and in vitro effects of scorpion venoms in Turkey: A minireview. J Venom Anim Toxins incl Trop Dis 2010; 16: 198-211.
  • Adıguzel S, Ozkan O, Inceoglu B. Epidemiological and clinical characteristics of scorpionism in children in Sanliurfa, Turkey. Toxicon 2007; 49: 875-80.
  • Ozkan O, Karaer Z. The scorpions in Turkey. Turk Bull Hyg Exp Biol 2003; 60: 55Ben Nasr H, Serria H, Chaker S, Riadh B, Zouheir S, Kamel J, Tarek R, Khaled Z.Some biological effects of scorpion envenomation in late pregnant rats. Exp Toxicol Pathol 2009; 61: 573-80.
  • Dutto M, Dutto L, Scaglione N, Bertero M. Euscorpius (Scorpiones, Euscorpiidae): Three cases of stings in northwestern Italy. J Venom Anim Toxins incl Trop Dis 2010; 16: 45-9.
  • Dittrich K, Ahmed R, Ahmed QA. Cardiac arrest following scorpion envenomation. Ann Saudi Med 2002; 22: 87-90.
  • Chippaux JP, Goyffon M. Epidemiology of scorpionism: A global appraisal. Acta Tropica 2008; 107: 71-9.
  • Ozkan O, Adıgüzel S, Inceoglu B, Lango J, Ertek M, Hammock BD. Evaluation of the neutralizing capacity of Androctonus crassicauda (Olivier, 1807) antivenom against Leiurus quinquestriatus (Ebrenberg, 1928) venom (Scorpiones: Buthidae). J Venom Toxins incl Trop Dis 2008; 14: 481-96.
  • Langley RL A review of venomous animal bites and stings in pregnant patients. Wilderness Environ Med 2004; 15: 207-15.
  • Osman OH, Ismail M, El-Asmar MF, Ibrahim SA EVect on the rat uterus on the venom from the scorpion Leiurus quinquestriatus. Toxicon 1972; 10: 363-6.
  • Lilach Leibenson, M. Leibenson, T.Silberstein Antepartum fetal death following a yellow scorpion sting.Arch Gynecol Obstet 2010; 281: 247-9.
  • Gomes A, De P, Dasgupta SC. Occurrence of a unique protein toxin from the Indian King Cobra (Ophiophagus hannah) venom. Toxicon 2001; 39: 363-70.

Scorpion sting during pregnancy: A case report accompanied by literature

Year 2013, Volume: 35 Issue: 4, 605 - 607, 30.12.2013

Abstract

Envenomizasyon yani yılan veya akrep gibi zehirli sürüngen ve haşerelerle sokularak zehirlenme kurak iklimin hakim olduğu kırsal bölge halkı için ciddi bir risktir. Türkiye’de yapılan epidemiyolojik çalışmalar bu durumdan özellikle dişilerin etkilendiğine işaret etmektedir. Tanı ise anamneze bağlı olup ağrı, eritem, endurasyon ve belki haşerenin sokma noktasının görülmesine bağlıdır. Gebelikte envenomizasyon ise çok daha riskli olmasına rağmen üzerinde oldukça az çalışılmış bir konudur oysa ki hem maternal ve hem de fetal riskler söz konusudur. Biz bu yazımızda bir vakamızı literatür eşliğinde tartışmak istedik.

References

  • Adiguzel S. In vivo and in vitro effects of scorpion venoms in Turkey: A minireview. J Venom Anim Toxins incl Trop Dis 2010; 16: 198-211.
  • Adıguzel S, Ozkan O, Inceoglu B. Epidemiological and clinical characteristics of scorpionism in children in Sanliurfa, Turkey. Toxicon 2007; 49: 875-80.
  • Ozkan O, Karaer Z. The scorpions in Turkey. Turk Bull Hyg Exp Biol 2003; 60: 55Ben Nasr H, Serria H, Chaker S, Riadh B, Zouheir S, Kamel J, Tarek R, Khaled Z.Some biological effects of scorpion envenomation in late pregnant rats. Exp Toxicol Pathol 2009; 61: 573-80.
  • Dutto M, Dutto L, Scaglione N, Bertero M. Euscorpius (Scorpiones, Euscorpiidae): Three cases of stings in northwestern Italy. J Venom Anim Toxins incl Trop Dis 2010; 16: 45-9.
  • Dittrich K, Ahmed R, Ahmed QA. Cardiac arrest following scorpion envenomation. Ann Saudi Med 2002; 22: 87-90.
  • Chippaux JP, Goyffon M. Epidemiology of scorpionism: A global appraisal. Acta Tropica 2008; 107: 71-9.
  • Ozkan O, Adıgüzel S, Inceoglu B, Lango J, Ertek M, Hammock BD. Evaluation of the neutralizing capacity of Androctonus crassicauda (Olivier, 1807) antivenom against Leiurus quinquestriatus (Ebrenberg, 1928) venom (Scorpiones: Buthidae). J Venom Toxins incl Trop Dis 2008; 14: 481-96.
  • Langley RL A review of venomous animal bites and stings in pregnant patients. Wilderness Environ Med 2004; 15: 207-15.
  • Osman OH, Ismail M, El-Asmar MF, Ibrahim SA EVect on the rat uterus on the venom from the scorpion Leiurus quinquestriatus. Toxicon 1972; 10: 363-6.
  • Lilach Leibenson, M. Leibenson, T.Silberstein Antepartum fetal death following a yellow scorpion sting.Arch Gynecol Obstet 2010; 281: 247-9.
  • Gomes A, De P, Dasgupta SC. Occurrence of a unique protein toxin from the Indian King Cobra (Ophiophagus hannah) venom. Toxicon 2001; 39: 363-70.
There are 11 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Zeynep Kamalak

Nermin Koşuş

Publication Date December 30, 2013
Published in Issue Year 2013Volume: 35 Issue: 4

Cite

AMA Kamalak Z, Koşuş N. Scorpion sting during pregnancy: A case report accompanied by literature. CMJ. December 2013;35(4):605-607.