ABSTRACT
In Argentina scorpion stings are the leading cause of venom-related injury to human. Since the beginning of the 20th century Tityus trivittatus is found in Buenos Aires. Scorpion envenomation is a neurotoxic syndrome with local symptoms and systemic manifestations. It could develop cardiac failure, acute pulmonary edema, shock and death. Fortunately, most of the scorpion stings in adult people in Buenos Aires are mild envenomations. A retrospective, descriptive and cross sectional study based on data collected from medical records of patients followed between 1982 and 2013 were done. We compiled a total of 141 human scorpion stings and 115 arthropod captures: 88 T. trivittatus, 10 Bothriurus bonariensis and 17 missed data. The accidents occurred more frequently in the eastern and oldest neighborhoods of the city. Eighteen patients had mild systemic manifestation. There was not any death. Twelve patients received scorpion antivenom. Although recently there was a severe case in 5 years old boy and in some provinces in Argentina death have been reported, most of the envenomations are mild. We observed inadequate treatment in some patients; it is important training on the correct management and prevention of this envenomation.
En Argentina el escorpionismo es el principal envenenamiento por animales ponzoñosos. Desde comienzos del siglo XX, Tityus trivittatus ha sido descripto en Buenos Aires. El escorpionismo es una intoxicación que produce un síndrome neurotóxico con síntomas locales y manifestaciones sistémicas. Puede desencadenar insuficiencia cardiaca, edema agudo de pulmón, shock y muerte. Afortunadamente, la mayoría de los accidentes con escorpiones en adultos en Buenos Aires son intoxicaciones leves. Se realizó un estudio retrospectivo, descriptivo y transversal basado en información recolectada de las historias clínicas desde 1982 hasta 2013. Se recolectó información sobre un total de 141 intoxicaciones por escorpiones y 115 capturas de artrópodos: 88 T. trivittatus, 10 Bothriurus bonariensis y 17 sin identificar. Los accidentes sucedieron más frecuentemente en los barrios del este y más antiguos de la ciudad. Dieciocho pacientes tuvieron síntomas sistémicos leves. No hubo ninguna muerte. Doce pacientes recibieron antiveneno. La mayoría de los envenenamientos fueron leves, aunque recientemente se produjo un caso grave en un niño de 5 años y en algunas provincias se han registrado muertes. Hemos observado un tratamiento inadecuado en algunos pacientes por lo que consideramos que sería importante capacitar en el correcto manejo y prevención de este envenenamiento.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Scorpion Stings/epidemiology , Argentina/epidemiology , Urban AreaABSTRACT
The nervous system of the order Scorpiones appears to have a common organizational structure. The combination of an anatomical study using methylene blue as the contrast medium together with a histological analysis using hematoxylin-eosin and Heindenhain´s iron hematoxylin techniques permitted the identkfication of a large number of nerves in B. bonariensis. Many of these are also present in a variety of other species of scorpions, belonging to distinct families of the order Scorpiones. Nevertheless, two pairs of nerves from B. bonariensis originating in the cheliceral ganglion, one pair of esophageal nerves and one pair of nerves from the aortic arch, appear to diverge from this basic organization. They have not been previously described, nor have any equivalents been reported in research on other scorpion species, in which the current homological criteria have been employed.
O sistema nervoso da ordem Scorpiones parece apresentar um plano comum de organização. Uma abordagem anatômica, utilizando o azul de metileno como meio contrastante para o tecido nervoso, e histológica, por intermédio das técnicas da hematoxilina-eosina e hematoxilina férrica de Heindenhain, permitiu identificar um grande número de nervos em B. bonariensis também presentes em diversas outras espécies de escorpiões, pertencentes a famílias distintas da ordem Scorpiones. Contudo, 2 pares de nervos de B. bonariensis com origem no gânglio queliceral, o par de nervos esofagianos e o par de nervos dos arcos aórticos, parecem divergir desse plano comum, visto não terem sido descritos anteriormente nem possuírem equivalentes em outras espécies de escorpiões pelos critérios de homologia utilizados.