APPROACH TO SCORPION STINGS DURING PREGNANCY- CASE REPORT

Öz

The aim of this article was to discuss what should be done in the case of a scorpion sting during pregnancy and the possible risks to the fetus and mother in the context of literature. At the same time a case involving a pregnant woman admitted to a county state hospital following a scorpion sting is presented. A thirtyfive-year-old , Gravida 2-Parity 1 patient in the 12th week of gestation was admitted to the emergency department of the state hospital complaining of burning, numbness and redness on her right leg after being stung by a scorpion on the upper thigh of her right leg. Stage 1 was described as a mild stage. In this case, pregnancy was completed without any pathology development and with a healthy childbirth at term. Our studies show that although there are various, albeit insufficient results in literature, the probable outcomes associated with scorpion venom should be closely monitored. The literature on this issue is controversial and more detailed studies on clinical follow-up are needed. 

Anahtar Kelimeler

• Pregnancy,scorpion sting,treatment

GEBELİKTE AKREP SOKMALARINA YAKLAŞIM- OLGU SUNUMU

Öz

Bu yazıda, bir ilçe devlet hastanesine akrep sokması nedeniyle başvuran bir gebe olguyu sunarken, gebelikte akrep sokması durumunda yapılması gerekenler ile fetus ve anne açısından olası risklerin literatür eşliğinde tartışılması amaçlandı. Otuz beş yaşında, Gravida 2- Parite 1, 12 haftalık gebe hasta sağ uyluk üst yan kısmından akrep sokması sonrası sağ bacakta yanma, uyuşma ve kızarıklık şikâyetiyle devlet hastanesi acil servisine başvurdu. Hastanın durumu evre 1 ile uyumlu idi. Evre 1 hafif evre olarak nitelendirilmekteydi. Bizim olgumuzda gebelik herhangi bir patoloji gelişmeden ve termde canlı ve sağlıklı bir çocuk doğumu ile tamamlandı. Sonuç olarak literatürdeki farklı ancak yetersiz sonuçlar gösteriyor ki; akrep venomunun olası etkilerine karşı olgular yakın takip edilmelidir. Bu konu hakkında literatür verileri çelişir durumdadır, klinik takip açısından daha detaylı çalışmaların da yapılması gerekmektedir. 

Anahtar Kelimeler

• gebelik,akrep sokması,tedavi

Kaynakça

1. 1. Otero R, Navío E, Céspedes FA, Núñez MJ,Lozano L, Moscoso ER, et al. Scorpion envenoming in two regions of Colombia: clinical, epidemiological and therapeutic aspects. Trans R Soc Trop Med Hyg 2004;98(12):742-50.
2. 2. Ellenhorn MJ, Barceloux DG. Natural toxins. Medical Toxicology: Diagnosis and Treatment of Human Poisoning. 1st ed. New York: Elsevier, 1988;1152-4.
3. 3. Yağmur E.A., Koç H, Kunt K.B. Description of a new species of Leiurus Ehrenberg, 1828 (Scorpiones: Buthidae) from Southeastern Turkey, Euscorpius, 2009; 85:1-20.
4. 4. Cesaretli Y, Ozkan O. Scorpion stings in Turkey: epidemiological and clinical aspects between the years 1995 and 2004. Rev Inst Med Trop Sao Paulo 2010;52(4):21520.
5. 5. Holve S. Treatment of snake, insect, scorpion and spider bites in the pediatric emergency department. Curr Opin Pediatr 1996;8(3):256-60.
6. 6. Karalliedde L. Animal toxins. Br J Anaesth 1995;74(1):31927.
7. 7. Joe G. Scorpioni. In: Olson KR, editor. Intossicazioni acute. Veleni, farmaci e droghe. Milano: Springer; 1999;298-9.
8. 8. Gümüştekin M. [Environmental toxins: animal bites and stings]. Turkiye Klinikleri J Pharmacol Special Topics 2003;1(1):53-7.

9. 9. Kurtoğlu S. [Scorpion stings and treatment]. Zehirlenmede Tanı ve Tedavi. Yayın No: 30. Birinci Baskı. Kayseri: Erciyes Üniversitesi Yayınları; 1992. p.539 -48.
10. 10. Doğanay Z, Karataş AD, Baydın A, Bildik F, Aygün D. [Is administration of antivenin necessary for all cases of scorpion envenomation? A case report]. Turkish Journal of Emergency Medicine 2006;6(2):76-80.
11. 11. Bemstein JN. Antivenom (scorpion and spider).In: Goldfrank LR, Flomenbaum NE,Lewin NA, Howland MA, Hoffman RS, Nelson LS, eds. Goldfrank’s Toxicology Emergency.7th ed. New York: McGraw-Hill. 2002;1589-91.
12. 12. Ben Nasr H, Serria H, Chaker S, Riadh B, Zouheir S, Kamel J, et al. Some biological effects of scorpion envenomation in late pregnant rats. Exp Toxicol Pathol 2009;61(6):573-80.
13. 13. Marei ZA, Ibrahim SA. Stimulation of rat uterus by venom from the scorpion L. quinquestriatus. Toxicon 1979;17(3):251-8.
14. 14. Meki AR, Nassar AY, Rochat H. A bradykininpotentiating peptide (peptide K12) isolated from the venom of Egyptian scorpion Buthus occitanus. Peptides 1995;16(8):1359-65.
15. 15. Mendonça M, Da Luz MM, Freire-Maia L, Cunha-Melo JR. Effect of scorpion toxin from Tityus serrulatus on the contraction of the isolated rat uterus. Toxicon 1995;33(3):355-61.
16. 16. Ismail M, Ellison AC, Tilmisany AK. Teratogenicity in the rat of the venom from the scorpion Androctonus amoreuxi (Aud. & Sav.). Toxicon 1983;21(2):177-89.
17. 17. Güler A, Karadaş S, Kurdoğlu Z. [Approach to scorpion stings during pregnancy: two cases]. J Turk Soc Obstet Gynecol 2011;8(3):2058.