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Published on: October 6, 2023
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.
Abstract:
Scorpion envenomation is a life-threatening health problem in tropical and subtropical regions, particularly among children. The aim of this study was to describe the epidemiologic characteristics, clinical profile, and prognosis of neurologic complications among children with scorpionism in Upper Egypt. In this retrospective study, the neurologic complications of scorpionism in 2 university hospitals were analyzed from the points of epidemiologic and clinical picture and outcomes. The neurologic manifestations were found at a high percentage (85%). Irritability was the main manifestation (83.4%), followed by sweating (81.5%), hyperthermia (33.6%), and priapism (48.2% of males). Moreover, convulsion and coma were found in 14.7% and 11% of children, respectively. Neurologic manifestations were common in children with scorpionism and they correlated with poor outcome. Identification of epidemiologic and clinical features of central nervous system complications of scorpionism in children provide important data, helping in development of management policies aiming at preventive control of scorpionism and decrease its mortality.
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