Abstract

ROSTAGNO, Gonzalo; BONETTO, Germán  and  SAENZ, Silvia. Escorpionism in pediatric intensive care patients: Case series. Arch. argent. pediatr. [online]. 2019, vol.117, n.4, pp.e368-e372. ISSN 0325-0075.  http://dx.doi.org/10.5546/aap.2019.e368.

Scorpionism is a public health problem with an increasing incidence in Argentina. The poison contains several neurotoxins capable of generating an "autonomic storm" responsible for the clinical manifestations. The cardiovascular and respiratory systems are the most affected ones and their degree of commitment will determine morbidity and mortality. A 10 % of cases in children evolve to their severe form. In this retrospective series, we describe the epidemiology and evolution of 17 patients admitted to the Pediatric Intensive Care Unit from January 2010 to January 2014. Although there was no mortality, there was a high morbidity: 12 patients had acute lung edema requiring mechanical ventilation, 11 patients developed hypotensive cardiogenic shock, 7 were under severe low cardiac output and in 6 levosimendan was used due to the low refractory output.

Keywords : Scorpion stings; Shock; Critical care; Pediatrics.

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