El BoletínEpidemiológico Sistema Nacional de Vigilancia Epidemiológica Sistema Único de Información, es el medio oficial de difusión de la. 2, Alacranismo en el estado de Guerrero: estudio clinico-epidemiologico 1, Alacranismo en Jalisco: Estudio de pacientes atendidos en consultorio. Alacranismo en Jalisco: estudio de pacientes atendidos en consultorio. Rev. Med. IMSS 30 (2), – Bawaskar, H.S., Bawaskar, P.H.

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Log In Sign Up. Epidemiological and clinical characteristics of scorpionism in Colima, Mexico — A database containing demographic, epidemiological and clinical information was constructed and analyzed retrospectively. Patients were classified in the categories as mild Most common symptoms recorded were local pain The median time from sting to admission to the emergency room patient delay was 33 min interquartile range: We found that older and clinically severe patients were significantly associated with longer alacranismp of admission to the emergency room.

Age was significantly associated with clinical severity: In four cases, patients died. An educational campaign to inform the population about the importance of receiving prompt attention following a scorpion sting has potential value in reducing complications in the emergency room. Scorpion envenoming; Patient delay; Antivenom; Colima; Mexico 1. Introduction humans De Roodt et al.

In Mexico, approximately species of scorpions have been identified Fet et al. Centruroides family Buthidae are highly venomous In fact, the highest mortality rate of up to deaths has Hoffmann and Nieto,possess mammal-specific been reported in Mexico in Mazzoti and Bravo- toxins, and therefore are dangerous to humans. There alacraniemo a Becherelle, C1 ; fax: C1 scorpionism in the hyper-endemic area of the state of Colima Mexico is alcaranismo. Patient classification by severity of symptoms alterations following Centruroides limpidus tecomanus scorpion envenomation in the state of Colima, Mexico.

Patients were assigned to one of three clinical states Only two species of highly venomous Centruroides have mild, moderate and eh based on a clinical evaluation been so far recorded from Colima Mexico: Centruroides and according to commonly accepted standards Velasco- infamatus and C. In this retrospective study, we report et al.

Any of the previous symptoms, plus any of the following: Patients and methods sialorrhoea, restlessness, and general paresthesia. Any of the previous symptoms, plus any of the A retrospective study was conducted during the period following: The state of Colima is located on the Pacific coast, has a tropical climate, and a population ofinhabitants, according to the latest census data 2.

The data recorded in the present study included the 2. This antivenom is enzymatically digested activity, school, etc. One ampoule neutralizes LD50 in mice of the patient, symptoms, complications, patient delay time tested intraperitoneally Dehesa-Davila and Possani, To reduce the risk of antivenom reactions, hydrocortisone and diphenydramine antihistamine are sometimes adminis- tered in SSA hospitals but not in IMSS hospitals.

Moreover, in IMSS hospitals service is provided by medical doctors with significant experience, while in SSA hospitals treatment of patients stung by a scorpion is often provided by social service medical students. Use of antivenom For children less than 5 years old, two ampoules of antivenom are administered because of the higher venom concentration in their bodies. For the patients older than 5 years, antivenom is administered according to their clinical picture.


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One or two ampoules are administered to neutralize the circulating venom in moderate and severe cases; in mild Fig. Map of the state of Colima, Mexico with its municipalities. Up to five vials of Most of the cases of scorpion sting occurred in the municipalities of antivenom are administered when no improvement in the Manzanillo 7 Villa de Alvarez 10 1.

Statistics linearly with the municipality population size except for the aladranismo of Colima and Villa de Alvarez, which We express our results as the meanGstandard deviation observe a relatively low number of scorpion stings despite SD of the data. This can be explained by the exact test Agresti, Results were deemed significant higher urbanization levels of these two municipalities than when the P-value was less than 0.

The daily number of scorpion stings in the studied region 3. Results shows a seasonality pattern with higher incidence during the months of June—October Fig. Also, the peaks of the All of the 13, cases of scorpion stings reported in the incidence curves correlate well with rainfall in and hospitals were included in the present study.

The number of The gender was not the association of climatological variables and scorpion recorded in 18 cases. The average age of males was For females, the elsewhere Chowell et al. The highest frequency of average age was The median time from sting to admission to the stings in legs Most of the individuals took a We found that the total number of scorpion stings during considerably small amount of time jalusco be admitted to the the study period in the Alacrannismo municipalities increases emergency room [ The daily incidence of scorpion stings during the period of study — in 9 of the 10 municipalities of the state of Colima, Mexico.

The seasonality pattern can be explained by the higher activity of scorpions during the months of June—October when the temperatures are higher and the rainy season takes place. Relative frequency of symptoms developed by patients stung by a scorpion. We found and gender, whereby males presented higher proportion a significant association between patient delay PD time of cases in clinical severity than females However, jaisco did not room and clinical severity Four deaths, due to P-value!

Furthermore, the pulmonary edema followed by heart failure, were proportion of males with a patient delay greater than recorded giving a mortality rate of 3 deaths per 10, 30 min was significantly higher than for females Three of the cases that resulted in jaoisco Two of the cases that resulted in their lifetime.

The most common symptoms presented included was stung at home and the other was stung while local pain There are a number of reports on the clinical and Cases were classified as mild We found a significant Hoffmann, ; Velasco-Castrejon et al. Here, we carried out the mine was administered to Both first extensive study of 13, scorpion stings that hydrocortisone and diphenydramine were administered to occurred over the 2-year period — in the state We did not find a significant of Colima, Mexico where the venomous scorpion species association between the number of severe cases and the C.


On the contrary, Dehesa-Davila associated the beginning of the rainy season with a decrease in the number of scorpion stings, while a higher incidence was recorded in the spring. De Roodt et al. While we did not observe high frequency comments and suggestions that alacrabismo improve this of vomiting for Centruroides stings 8. This could be probably due to differences in toxicity of the scorpion species.

Most of the Colima cases were classified as mild An Introduction to Categorical Data Analysis. Mazzei de Davila et al.

[Scorpionism causing severe acute flaccid paralysis. Case report].

Estudio de pacientes atendidos en consultorio. IMSS 30 2— In agreement with De Roodt et al. Scorpion stings and their treatment in with those from 11 years and older.

We found no association Mexico. Predicting scorpion sting incidence in an endemic region hydrocortisone for the treatment of Centruroides stings using climatological variables. The association between clinical — Epidemiological and clinical aspects of could be playing a role in this association. The same scorpionism by Tityus trivittatus in Argentina.

Toxicon 41, association was not statistically significant in IMSS — Epidemiological characteristics of We found that the distribution of patient delay time scorpion sting in Leon, Guanajuato, Mexico.

Toxicon 27 3from scorpion sting to the emergency room is well skewed — This could be due to difficulties for some Dehesa-Davila, M. Scorpionism and ser- otherapy in Mexico. Toxicon 32 9— Pediatric electrocardiograph quickly as possible. In fact, we found a statistically abnormalities following Centruroides limpidus tecomanus significant association between patient delay and clinical scorpion envenomation in children.

Hence, an Fet, V. Catalog educational campaign to inform the population about the of the Alafranismo of the World — New York importance allacranismo receiving prompt attention following a Entomological Society, New York, pp. Approaches to cations in the emergency room. Toxicon 32 9— The mortality rate reported here 3 deaths per 10, Alteraciones reported by De Roodt et al. We did not Inst.

To the best of our Prevalencia de la picadura de escorpion en la ciudad de knowledge, this is the first study aiming at understanding the Queretaro. IMSS 32 6—