Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review

• Autor(a) principal: Albuquerque, Polianna Lemos Moura Moreira
• Data de Publicação: 2018
• Outros Autores: Magalhaes, Karla do Nascimento, Sales, Tamiris de Castro, Paiva, José Hícaro Hellano Gonçalves Lima, Daher, Elizabeth de Francesco, Silva Junior, Geraldo Bezerra da
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
• Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/148081
• topic: Scorpionism; Acute kidney injury; Tityus stigmurus; Acute pancreatitis

Despite the high number of accidents due to scorpion stings in Brazil, severe cases in adults are seldomly reported. In the Northeast region of Brazil, Tityus stigmurus is the most prevalent species. A 69 year-old woman who was stung by a scorpion attended the emergency room 5 hours after envenomation. She got worse due to abdominal pain. Clinical findings were concordant with class III scorpion envenomation (major systemic manifestations), complicated by acute kidney injury and acute pancreatitis. Intensive supportive therapy was adopted. In the follow-up, 3 months later, she was completely recovered. This report is being brought to recommend the thorough management of victims of scorpion accidents, enabling early diagnosis of severe complications, which could lead to death if aggressive supportive measures are not early and adequately taken.