RESUMO
The author reports a case of blindness occurred after three scorpion stings in a young woman from the region Ouargla, Algeria. The absence of signs of neurological and cardiovascular envenomation and the functional examinations of eyes is likely to be the consequence of a toxic neuropathy. Two months later, blindness persists and functional prognosis remains reserved.(AU)
Assuntos
Humanos , Intoxicação/diagnóstico , Prognóstico , Cegueira , Picadas de Escorpião , Relatório de Pesquisa , Neuropatia Óptica TóxicaRESUMO
Acute pulmonary edema (APE) occurring after scorpion sting is the leading cause of death of the victims of scorpion envenomation. The APE origin is still questioned by physicians treating these patients. Based on echocardiographic study of 20 patients with severe envenomation treated in Ouargla Hospital resuscitation ward during the last four years, the APE etiology seems more likely cardiogenic, referring to cardiac symptoms confirmed by echocardiography although other mechanisms may also be involved. This hypothesis is further confirmed by the positive response of patients to the administration of dobutamine.(AU)
Assuntos
Humanos , Edema Pulmonar , Ecocardiografia , Dobutamina , Picadas de EscorpiãoRESUMO
Acute pulmonary edema (APE) occurring after scorpion sting is the leading cause of death of the victims of scorpion envenomation. The APE origin is still questioned by physicians treating these patients. Based on echocardiographic study of 20 patients with severe envenomation treated in Ouargla Hospital resuscitation ward during the last four years, the APE etiology seems more likely cardiogenic, referring to cardiac symptoms confirmed by echocardiography although other mechanisms may also be involved. This hypothesis is further confirmed by the positive response of patients to the administration of dobutamine.(AU)
Assuntos
Animais , Edema Pulmonar/patologia , Venenos de Escorpião , Staphylococcus , Ultrassonografia , Dobutamina/farmacologiaRESUMO
The author reports a case of blindness occurred after three scorpion stings in a young woman from the region Ouargla, Algeria. The absence of signs of neurological and cardiovascular envenomation and the functional examinations of eyes is likely to be the consequence of a toxic neuropathy. Two months later, blindness persists and functional prognosis remains reserved.(AU)