Stroke as a rare complication of scorpion stings: A systematic review and analysis

IF 3.6 Q2 TOXICOLOGY Toxicon: X Pub Date : 2024-08-30 DOI:10.1016/j.toxcx.2024.100205
Jorge Vasconez-Gonzalez , Karen Delgado-Moreira , Esteban Gamez-Rivera , María Belen Lopez-Molina , Fredy Lizarazo Davila , Juan S. Izquierdo-Condoy , Esteban Ortiz-Prado
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Abstract

Approximately 1 million scorpion stings are recorded annually worldwide, resulting in 3000 deaths. Scorpion venom has various effects on the human body, with neurological complications occurring in about 2% of cases. Among these complications, stroke—whether ischemic or hemorrhagic—is particularly significant. A systematic literature review was conducted through a bibliographic search using key terms in the PubMed, Scopus, Scielo, Latin American and Caribbean Literature in Health Sciences (LILACS) and Google Schoolar databases without date restrictions. Articles related to stroke due to scorpion stings in Spanish, English, and Portuguese were included. Our protocol was registered in PROSPERO. A total of 24 articles met the inclusion criteria for this review. The primary neurological symptoms caused by scorpion stings include hemiplegia, hemiparesis, seizures, and limb weakness. Stroke should be suspected in the presence of these symptoms, as scorpion stings can lead to both hemorrhagic and ischemic strokes in both adults and pediatric populations. While stroke is a rare complication of scorpion stings, it is crucial to consider this diagnosis in patients presenting with neurological symptoms, necessitating the use of computed tomography or magnetic resonance imaging if stroke is suspected.

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中风是蝎子蜇伤的罕见并发症:系统回顾与分析
据记录,全世界每年约有 100 万起蝎子蜇伤事件,造成 3000 人死亡。蝎毒对人体有各种影响,约有 2% 的病例会出现神经系统并发症。在这些并发症中,缺血性或出血性中风尤为严重。通过在 PubMed、Scopus、Scielo、拉丁美洲和加勒比健康科学文献(LILACS)以及 Google Schoolar 数据库中使用关键术语进行文献检索,进行了一次系统的文献综述,没有日期限制。收录了西班牙语、英语和葡萄牙语中与蝎子蜇伤导致中风相关的文章。我们的研究方案已在 PROSPERO 注册。共有 24 篇文章符合本综述的纳入标准。蝎子蜇伤引起的主要神经症状包括偏瘫、偏瘫、癫痫发作和四肢无力。出现这些症状时应怀疑中风,因为蝎子蜇伤可导致成人和儿童出血性和缺血性中风。虽然中风是蝎子蜇伤的罕见并发症,但在出现神经系统症状的患者中考虑这一诊断至关重要,如果怀疑是中风,则有必要使用计算机断层扫描或磁共振成像。
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来源期刊
Toxicon: X
Toxicon: X Pharmacology, Toxicology and Pharmaceutics-Toxicology
CiteScore
6.50
自引率
0.00%
发文量
33
审稿时长
14 weeks
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