Neurologic Complications in Children With Scorpionism: A Retrospective Study in Upper Egypt

Khaled Saad1, Mohamed A Abd El-Hamed2, Mohamed Gamil M Abo-Elela3

  • 11 Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.

Insights

Scorpion envenomation frequently causes severe neurologic issues in children in Upper Egypt. Early identification of these central nervous system complications is crucial for improving outcomes and reducing mortality from scorpion stings.

Area of Science:

  • Pediatric Neurology
  • Toxicology
  • Epidemiology

Background:

  • Scorpion envenomation poses a significant health risk, especially to children in tropical and subtropical areas.
  • Neurologic complications are a major concern in pediatric scorpionism, impacting prognosis.

Purpose of the Study:

  • To detail the epidemiology, clinical presentation, and outcomes of neurologic complications in children with scorpionism.
  • To analyze data from university hospitals in Upper Egypt.

Main Methods:

  • Retrospective analysis of pediatric cases with scorpionism.
  • Evaluation of epidemiologic factors, clinical manifestations, and patient outcomes.

Main Results:

  • Neurologic manifestations were observed in 85% of pediatric cases.
  • Common symptoms included irritability (83.4%), sweating (81.5%), hyperthermia (33.6%), and priapism (48.2% in males).
  • Convulsions (14.7%) and coma (11%) indicated severe envenomation and correlated with poor outcomes.

Conclusions:

  • Neurologic complications are highly prevalent in pediatric scorpionism.
  • Understanding these features aids in developing management strategies and preventive measures to reduce mortality.

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