RESUMO
Scorpion sting is a public health problem in various areas of the world. According to the climates, our country has a lot of scorpion species, especially dangerous kinds of them. South of Kerman province is one of the regions with highest prevalence of Scorpion sting. So study of epidemiologic and predisposing factors study of scorpion sting in this region seems to be essential. This study was a prospective case series conducted from 2003-2006. All cases of Scorpion sting have been referred to hospital in Kahnuj city. After examination and treatment. Thery were entered to the study for evaluation of epidemiologic characteristics and predisposing factors. Statistically analysis performed using SPSS version 15 software. Chi-square test was used to compare categorical variables. Totally 301 cases of scorpion stings referred to the hospital. Most scorpions biting happens between [24 to 6.00 hours] in early morning and mostly in hands and feet. 50% of victims slept outdoors and 20% had garbage around of their homes. There were only 2 deaths due to scorpion sting. It seems some that precautionary measures, such as repair of buildings, self control and sleeping indoors, can decrease incidence of scorpion stings
Assuntos
Humanos , Escorpiões , Causalidade , Estudos Prospectivos , Mãos , PéRESUMO
A neonate was admitted on the second day of birth in the pediatric ward of Kerman medical sciences university No.1 Hospital, because of abdominal distention and the absence of penis. Physical findings were lethargia, infancy hyporeflexia, abdominal distention without any organomegally, and absence of penis, two touchable masses in the scrotum and a hole on scrotum for urine discharge. CBC and electrolytes were normal. Urea and creatinin were higher than normal rate but decreased to normal rate on the 4[th] day of birth. Urine analysis showed a lot of white and red cells and bacteria, but urine culture and blood culture were negative. Abdominal radiography revealed intestinal lobes full of gas, but there was no gas in the rectum. Barium enema was normal. Vertebral radiograph and echocardiograph were normal. Abdominal sonography showed pyelocalisil distention in both kidneys, but more in the left kidney, right scrotum and a hypoplastic penis in scrotum. In CT-Scan, perfusion and function of right kidney were normal while no perfusion and function were observed in the left kidney. The karyotype was 46XY. Abdominal distention was relieved after the washing of rectum with normal salin and discharge of gas and meconium. Urea and creatinin levels decreased to normal rate and oral feeding was started. The neonate was discharged because of parents' discontent for genital repair, but readmitted on the 41[st] day of birth due to urinary retention and visiculotomy was performed. Genital repair was not done due to parents' discontent