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Indian Pediatr ; 2003 Nov; 40(11): 1072-5
Article Dans Anglais | IMSEAR | ID: sea-12501

Résumé

he present study is an attempt to evaluate the clinical manifestations of severe scorpion sting in children and their management at a rural setting. Twelve patients with severe scorpion sting referred from primary health center are presented in this report. Eight children had pulmonary edema and hypotension; two had pulmonary edema and hypertension while one each presented with hypertension and tachycardia in isolation. Oral prazosin, dobutamine infusion and sodium nitroprusside drip (SNP) were used as therapeutic options based on the symptomatology. Two children died of massive pulmonary edema despite use of SNP and dopamine drip. Anti scorpion venom did not prevent the cardiovascular manifestations of severe scorpion sting. Early administration of prazosin alleviated the severity of scorpion envenomation


Sujets)
Adolescent , Animaux , Sérums antivenimeux/administration et posologie , Morsures d'araignées/complications , Enfant , Enfant d'âge préscolaire , Association thérapeutique , Dobutamine/administration et posologie , Femelle , Études de suivi , Humains , Inde , Perfusions veineuses , Mâle , Nitroprussiate/administration et posologie , Prazosine/administration et posologie , Oedème pulmonaire/étiologie , Appréciation des risques , Population rurale , Études par échantillonnage , Venins de scorpion , Scorpions , Indice de gravité de la maladie , Taux de survie , Résultat thérapeutique
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