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      Mesobuthus eupeus scorpionism in Sanliurfa region of Turkey

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          Abstract

          The epidemiology and clinical findings of scorpion stings in Sanliurfa region of Turkey, from May to September 2003, were evaluated in this study. Mesobuthus eupeus (M. eupeus) plays a role on 25.8% of the scorpionism cases. This study also showed that intoxications caused by M. eupeus in the southeast of Anatolia region were seen in hot months of the summer, especially on July. Females and people above 15 years old were mostly affected and stung on extremities. Intense pain in the affected area was observed in 98.7% cases, hyperemia in 88.8%, swelling in 54.6%, burning in 19.7%, while numbness and itching were seen less frequently. In our study, the six most frequently observed symptoms were local pain, hyperemia, swelling, burning, dry mouth, thirst, sweating, and hypotension. In this study involving 152 M. eupeus toxicity cases, patients showed local and systemic clinical effects but no death was seen. Autonomic system and local effects characterized by severe pain, hyperemia and edema were dominantly seen in toxicity cases.

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          Most cited references53

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          Scorpine, an anti-malaria and anti-bacterial agent purified from scorpion venom.

          A novel peptide, scorpine, was isolated from the venom of the scorpion Pandinus imperator, with anti-bacterial activity and a potent inhibitory effect on the ookinete (ED(50) 0.7 microM) and gamete (ED(50) 10 microM) stages of Plasmodium berghei development. It has 75 amino acids, three disulfide bridges with a molecular mass of 8350 Da. Scorpine has a unique amino acid sequence, similar only to some cecropins in its N-terminal segment and to some defensins in its C-terminal region. Its gene was cloned from a cDNA library.
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            Epidemiological and clinical aspects of scorpionism by Tityus trivittatus in Argentina.

            This is a descriptive study of epidemiological and clinical aspects of stings caused by the scorpion Tityus trivittatus in Argentina. We analyzed 511 cases recorded from different health centers in 22 provinces. Most accidents took place during the period November-April (76%), in or nearby houses (86%). Over 50% of the accidents involved children and teenagers. Envenomation by T. trivittatus was mainly characterized by local symptoms: pain (85%), edema (26.6%), burning sensation (24.7%), erythema (20.7%), local hyperthermia (13.1%), paresthesia (9.8%) and general manifestations such as vomiting (25%), paleness (18.8%), headache (11.4%) and sweating (8.2%). Neurological, cardiovascular and respiratory disorders were uncommon. Almost 90% of the injured people got treated with specific antivenom within 2 h, 6% were treated 2-h after the accident and only 2 people were treated 12 or more hours after being stung. The global mortality recorded was 6 per 1000 cases. Scorpionism in Argentina is a public health problem under control due to the relatively low incidence and the accessibility of specific antivenom.
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              Report of a WHO workshop on the standardization and control of antivenoms

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                Author and article information

                Journal
                jvatitd
                Journal of Venomous Animals and Toxins including Tropical Diseases
                J. Venom. Anim. Toxins incl. Trop. Dis
                Centro de Estudos de Venenos e Animais Peçonhentos (CEVAP/UNESP) (Botucatu, SP, Brazil )
                1678-9199
                December 2005
                : 11
                : 4
                : 479-491
                Affiliations
                [01] orgnamePoison Research Center orgdiv1Refik Saydam Hygiene Center Turkey
                [02] orgnameHealth Center of Sanliurfa orgdiv1Department of Infectious Diseases Turkey
                Article
                S1678-91992005000400008 S1678-9199(05)01100408
                10.1590/S1678-91992005000400008
                bf7b1494-f0bf-4330-becd-90729162783e

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 30 May 2005
                : 07 December 2004
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 53, Pages: 13
                Product

                SciELO Brazil

                Categories
                Original Papers

                scorpionism,Turkey,clinical symptoms,epidemiology,Mesobuthus eupeus

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