Retrospective Evaluation of Patients With Scorpion Stings Admitted to the Pediatric Emergency Clinic

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dc.contributor.authorTunc, Feyat
dc.contributor.authorYildiz, Suleyman
dc.contributor.authorDevecioglu, Mehmet Celal
dc.contributor.authorYolbas, Ilyas
dc.contributor.authorAktar, Fesih
dc.date.accessioned2024-04-24T17:28:26Z
dc.date.available2024-04-24T17:28:26Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractIntroduction Scorpion sting in children is still a serious health problem today. Children are at greater risk of developing severe cardiac, respiratory, and neurological complications because of their low body weight. In this study, we retrospectively evaluated the demographical changes, complaints, clinical findings, and laboratory results of scorpion sting cases admitted to the pediatric emergency department. Materials and Methods The records of 72 patients who were followed up with the diagnosis of scorpion sting in the Dicle University Pediatric Emergency Department between 2013 and 2017 were retrospectively analyzed. Results The patients included in the study were between one and 15 years (7.64 +/- 4.04 years) and 43.1% were male, and 56.9% were female. While 65.3% of the cases lived in rural areas, 34.7% lived in the city center. The most common stung areas in the cases were the lower extremity (51.4%) and the upper extremity (34.7%). The most common complaints in the patients were 70.8% pain, 58.3% edema, 41.7% cold extremities, 23.6% sweating, 22.2% vomiting, and 12.5% excessive salivation. Of the cases, 71.4% had mild, 25.7% had moderate, and 2.9% had severe stages. Of the patients, 91.6% were given antivenom, 75.7% were given antihistamines, 74.3% were given steroids, 65.7% were given antibiotics, 64.3% were given analgesics, 44.3% were given tetanus vaccine, 2.8% were given erythrocyte suspension and 1.4% were given platelet suspension. In addition, 11.4% of the cases were given prazosin treatment. While 32.9% of the cases required intensive care, two patients died. A statistically significant difference was found between the glucose, urea, creatine, total protein, sodium, potassium, alanine aminotransferase, white blood cell count, red blood cell count, hemoglobin, hematocrit, neutrophil count values of the patients at admission and discharge. Conclusion Scorpion sting cases are still a significant health problem. The severe clinical course is more common in children. The management of patients with severe clinical forms is based on early recognition of the sting, antivenom serum administration, and cardiorespiratory and systemic support.en_US
dc.identifier.doi10.7759/cureus.29606
dc.identifier.issn2168-8184
dc.identifier.issue9en_US
dc.identifier.pmid36320957
dc.identifier.urihttps://doi.org/10.7759/cureus.29606
dc.identifier.urihttps://hdl.handle.net/11468/20436
dc.identifier.volume14en_US
dc.identifier.wosWOS:000985628600006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherCureus Incen_US
dc.relation.ispartofCureus Journal of Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPediatric Emergencyen_US
dc.subjectMortalityen_US
dc.subjectPrazosinen_US
dc.subjectAntivenomen_US
dc.subjectScorpion Stingen_US
dc.subjectChildrenen_US
dc.titleRetrospective Evaluation of Patients With Scorpion Stings Admitted to the Pediatric Emergency Clinicen_US
dc.titleRetrospective Evaluation of Patients With Scorpion Stings Admitted to the Pediatric Emergency Clinic
dc.typeArticleen_US

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