Ann Clin Toxicol | Volume 2, Issue 1 | Research Article | Open Access
Alfredo Luis Chávez-Haro1, Josué Saúl Almaraz-Lira1, Jorge Alejandro González-Canudas2, Aarón Molina-Perez2, Ana Gabriela Amador-Hernández2 and Walter Garcia-Ubbelohde2*
1Mexican Red Cross, Leon Delegation, Mexico
2Laboratorios Silanes, Research and Clinical Trials Unit, Mexico
*Correspondance to: Walter Garcia-Ubbelohde
Fulltext PDFIntroduction: Being Mexico one of the countries with the highest diversity in species of scorpions, their population is at a greater risk of being poisoned by scorpion sting. The objective of this study was to analyze the change in temperature at the sting site and describe the clinical evolution of patients treated between May and September 2017.
Methods: Descriptive, longitudinal, prospective study realized in the Red Cross Antialacran Center of Leon, Guanajuato in patients older than 6 years requiring specific treatment for scorpion sting. The variables of study are presented descriptively while baseline temperature in sting site and temperature after leaving the center were compared with t student's test. Additionally we performed a post hoc comparison analysis between antivenom treatments available during the time of this evaluation.
Results: One seventy four cases were analyzed, 51.1% were men, average age of 31.8 years, and 44.2% were classified as poisoning grade I; 48.9% as grade II and 6.9% as grade III. The reported mortality was zero. The average temperature at Sting site prior to treatment was 35.83°C and in contralateral site of 36.24°C. Hospital discharge mean temperature was 36.22°C at the sting site while in contralateral site was 36.37°C.
Conclusion: It was observed a significant difference between the baseline temperature at sting site and at contralateral limb, which represents a sign that could support the diagnosis of envenomation. There was also a trend to normalization in the temperature of the sting site, which could be considered to evaluate the response to treatment. Antivenom therapy demonstrated to be safe and effective in therapy for this group of patients. The post-hoc analysis concluded that the dose for two types of treatment was different this must be confirmed in another study.
Scorpion stings; Arthropod venoms; Antivenins; Body temperature
Chávez-Haro AL, Almaraz-Lira JS, González-Canudas JA, Molina-perez A, Amador-Hernández AG, Garcia- Ubbelohde W. Change of Temperature at Sting Site by Scorpion in León, Guanajuato. Ann Clin Toxicol. 2019; 2(1): 1013.