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Published on: October 6, 2023
Scorpion envenomation in children: an analysis of 99 cases
Mehmet Uluğ1, Yöntem Yaman, Ferda Yapici
1Department of Infectious Diseases and Clinic Microbiology, Ozel Omit Hospital, Eskişehir, Turkey.
Insights
Scorpion stings are a significant public health issue, especially for children. This study in Turkey highlights peak sting incidence in July among 6-10 year olds, with most stings on lower limbs, emphasizing the need for health education.
Area of Science:
- Public Health
- Epidemiology
- Toxicology
Background:
- Scorpion envenomation poses a severe global health threat, disproportionately affecting children.
- Understanding regional epidemiological patterns is crucial for effective public health interventions.
Purpose of the Study:
- To delineate the epidemiological profile of scorpion stings in Turkey's southeast Anatolia region.
- To characterize clinical symptoms, laboratory findings, and patient outcomes.
Main Methods:
- Retrospective descriptive study design.
- Analysis of scorpion sting cases from emergency units in Mardin and Midyat.
- Data collection on demographics, sting location, clinical signs, and outcomes.
Main Results:
- Peak incidence observed in July (36.4%), coinciding with high temperatures.
- The 6-10 year age group comprised the majority of cases.
- Most stings affected exposed extremities (92.9%), primarily lower limbs (58.6%).
- Common symptoms included local pain, swelling, itching, malaise, dry mouth, sweating, and thirst.
- Neurological, cardiovascular, and respiratory complications were infrequent.
- Overall mortality was low (10 per 1000 cases), with one recorded fatality.
Conclusions:
- Findings provide valuable data for targeted health education and prevention strategies.
- High incidence during warmer months underscores environmental risk factors.
- The study emphasizes the importance of prompt medical attention for scorpion envenomation.
Abstract:
Scorpion envenomation is a life-threatening emergency and a common public health problem in many regions of the world, particularly in children. The aim of this retrospective descriptive study was to describe the epidemiological characteristics and some common clinical symptoms and signs, laboratory findings and outcomes among humans in the southeast Anatolia region of Turkey (Mardin, Midyat). The sting cases mostly occurred in the month of July (36.4%) when the annual temperature is the highest. The majority of the cases were in the 6-10 years of age group. Most of the stings were seen in exposed extremities (92.9%), mainly in the lower limbs (58.6%). Patients in the emergency units showed signs of local and systemic effects, but no lethality occurred except one. Local and autonomic nervous system effects were most frequently characterized by local pain, hyperemia, swelling, itching, malaise, dry mouth, sweating, and thirst. Neurological, cardiovascular and respiratory disorders were uncommon. The global mortality recorded was 10 per 1000 cases. In conclusion, we propose that this information is beneficial for health education and prevention of scorpion sting cases.
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