Fatal anaphylaxis to Jaguajir rochae (Borelli, 1910) (scorpiones, buthidae) in Brazil: a case report
Rev. patol. trop
;
48(3): 187-194, 2019. ilus, mapa
Artículo
en Inglés
| LILACS
| ID: biblio-1097165
ABSTRACT
A 44-year-old healthy farmer, was stung by a scorpion on his right hand while preparing soil for planting in the Caatinga area (a large area in the north-east of Brazil characterized by semiarid scrub forest), in the Catarina Municipality countryside, Ceará State, Brazil. According to the reports of carers and family members, the patient initially reported mild pain at the site of the sting, but within a few minutes he developed malaise, pruritus in the body and throat, edema in the nostrils, and a dry mouth which led to looking for water to drink. It rapidly evolved into sphincter, urinary and fecal release, salivation and a convulsive episode with loss of the senses. He was dead on arrival at Catarina Municipality Hospital emergency department. The necroscopic report indicated suffocation due to glottal edema and acute lung edema as the "cause of death". The animal which caused the accident was under a rock that the patient was manipulating at the time of the incident, and has been identified by experts as Jaguajir rochae (Borelli, 1910) scorpion species, formerly synonymized Rhopalurus rochae. This is the first report of a fatality due to an allergic reaction to the venom of this species. This leads to the possibility that deaths caused by stings from other scorpion species may be due to anaphylaxis, whose symptoms in some situations may be confused with severe envenomation.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Intoxicación
/
Escorpiones
/
Mordeduras y Picaduras
/
Hipersensibilidad
/
Anafilaxia
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. patol. trop
Asunto de la revista:
Medicina Tropical
/
Patología
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Instituto Butantan/BR
/
Secretaria da Saúde do Ceará/BR
/
Universidade Federal do Pará/BR
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