Toxic Myocarditis after Scorpion Envenomation: Case Report

Abstract

Altough scorpions have a worldwide distribution, scorpion sting is an acute life-threating medical emergency condition in African Countries, India, Egypt, Middle- East, Israel and tropical countries. Some studies show that 50 per cent of scorpion envenomed children were diagnosed as having myocarditis. Because the scorpion sting is an acute life threatining medical problem in summer and dry seasons in South and South- Eastern regions of our country, we want to report our two cases who administired to our hospital in last year and who experienced myocarditis and pulmonary edema after scorpion sting. Key words: Scropion, Myocarditis

Keywords

• Scropion, Myocarditis

Akrep Sokmasına Bağlı Toksik Miyokardit: Olgu Sunumu

Öz

Akrepler tüm dünyada yaşamakla birlikte, insan sağlığı açısından tehlikeli olan türlerin yaşadığı Afrika ülkeleri, Hindistan, Mısır, Ortadoğu ve İsrail gibi bölgelerde akrep sokması önemli bir sağlık problemidir. Yapılan çalışmalarda dünyanın bazı bölgelerinde görülen akrep sokmalarında çocukların % 50' sinde miyokardit geliştiği saptanmıştır. Bu yazıda özellikle yaz aylarında ülkemizin güney ve güneydoğu bölgelerinde akrep sokmasının sık görülmesi nedeniyle son bir yıl içerisinde hastanemize başvuran akrep sokmasına bağlı iki miyokardit olgusu tartışılmıştır. Anahtar kelimeler: Akrep, Miyokardit

Anahtar Kelimeler

• Akrep, Miyokardit

Kaynakça

1. Bawaskar HS, Bawaskar PH, Abroug F, Nouıra S, Elatrous S. Management of scorpion sting.Heart 1999;82:253-4.
2. Karataş, A. and Karataş, A., 2001, Mesobuthus eupeus (C.L. Koch, 1839) from central Anatolia (Scorpiones: Buthidae), pp. 297-299, In: Fet, V. and Selden, P.A. (Eds.), Scorpions 2001: In Memoriam Gary A. Polis, British Arachnological Society.
3. Karataş, A. and Karataş, A., 2003, Mesobuthus eupeus (C.L. Koch, 1839) (Scorpiones: Buthidae) in Anatolia, Euscorpius — Occasional Publications in Scorpiology, 7: 1-7.
4. Karataş, A., 2005, Mesobuthus caucasicus (Nordmann, 1840) (Scorpiones: Buthidae) in Turkey, Euscorpius — Occasional Publications in Scorpiology, 25: 1-7.
5. Karnad DR. Haemodynamic patterns in patients with scorpion envenomations. Heart 1998;79:485-9.
6. Das S, Nalini P, Ananthakrishnan S, Sethuraman KR, Balachander J, Srinivasan S. Cardiac involvement and scorpion envenomation in children.J Trop Pediatr. 1995 Dec;41(6):338-40.
7. Dudin AA, Rambaud-Cousson A, Thalji A, Juabeh II, Abu-Libdeh B. Scorpion sting in children in the Jerusalem area: a review of 54 cases. Ann Trop Paediatr. 1991;11(3):217-23.
8. Murthy KRK, Vakil AE, Yeolekar ME, Vakil YE. Reversal of metabolic and electro- cardiographic changes induced by Indian red scorpion (Buthus tamulus) venom by administration of insulin, alpha blocker and sodium bicarbonate. Indian J Med Res 1988; 88: 450-7.

9. Garg AK, Pimparkar AB, Abraham PP, Chikhalikar AA. Myocarditis and pulmonary
10. edema following scorpion bite. (A case report). J Postgrad Med 1983;29:46-8.
11. Meki A.R. A.M, Mohamed Z.M.M, El-deen H.S.M. Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children. Toxicon 41 (2003);129-37.
12. Bahloul M, Kallel H, Rekik N, Ben Hamida C, Chelly H, Bouaziz. Cardiovascular dysfunction following severe scorpion envenomation. Mechanisms and physiopathology. Presse Med. 2005 Jan 29;34(2 Pt 1):115-20.
13. Mahadevan S. Scropion sting.Indian Pediatrics 2000;37: 504-14.
14. Elatrous S, Nouira S, Besbes-Ouanes L et al. Dobotuamine in severe scorpion envonamtion: Effects on standard hemodynamics, right ventricular performance and tissue oxygenation. Chest 1999;116:748-53.
15. Sunduraraman T, Olithselvan M, Sethuraman KR, Narayan KA: Scorpion envenomation as a risk factor for development of dilated cardiomyopathy. J Assoc Physicians India. 1999 Nov;47(11):1047-50.