Pediatric electrocardiograph abnormalities following Centruroides limpidus tecomanus scorpion envenomation

P. Diaz, G. Chowell, G. Ceja, T. C. D'Auria, R. C. Lloyd, Carlos Castillo-Chavez

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Scorpionism is an endemic public health problem in Mexico [Hoffmann, C.C., 1936. La distribucion geografica de los alacranes peligrosos en la Republica Mexicana. Bol. Inst. Hygiene Mex. 2, 321; Hoffmann, C.C., Nieto, D.R., 1939. Segunda contribucion al conocimiento de los alacranes mexicanos. Anal. Inst. Biol. 10, 83-92; Mazzoti, L., Bravo-Becherelle, M.A., 1963. Scorpionism in the Mexican Republic. In: Keegan, H.L., McFarlane, W.V. (Eds.), Venomous and Poissonous Animals and Noxious Plants of the Pacific Area. Pergamon Press, London, pp. 119-131; Monroy-Velasco, J., 1961. Alacranes venenosos de Mexico. Rev. Mex. Cien. Med. Biol., Mex. 1, 1-23; Diaz-Najera, A., 1975. Listas y datos de distribucion geografica de los alacranes de Mexico. Rev. Inv. Salud. Publica. (Mex.) 35, 1; Velasco-Castrejon, O., Lara-Aguilera, R., Alatorre, H., 1976. Aspectos epidemiologicos y clinicos de la picadura de alacran en una area hiperendemica. Rev. Inv. Salud Publica. (Mex.) 36, 93-103; Dehesa-Davila, M., Possani, L.D., 1994. Scorpionism and serotherapy in Mexico. Toxicon 32 (9), 1015-1018]. In this prospective study, we assess cardiovascular disorders in children via electrocardiographic (ECG) recordings following envenomation by scorpion species Centruroides limpidus tecomanus found in the state of Colima, Mexico. We analyzed 113 cases between the ages of 5 and 14 years. Among the most frequent symptoms presented included local pain (99.1%) and paresthesia (75.2%), pruritus (36.3%), sialorrhoea (35.4%), and nystagmus (24.8%). Cardiovascular disorders were observed in 39.8% of cases, 71% of which were rhythm abnormalities. We find a significant association between the frequency of ECG alterations and age, whereby 8-9-year-old children are more likely to experience ECG alterations when compared with other tested age groups.

Original languageEnglish (US)
Pages (from-to)27-31
Number of pages5
JournalToxicon
Volume45
Issue number1
DOIs
StatePublished - Jan 2005

Fingerprint

tetrachloroisophthalonitrile
Scorpions
Pediatrics
Eye movements
Public health
Medical problems
Mexico
Scorpion Stings
Electrocardiography
Animals
Sialorrhea
Passive Immunization
Paresthesia
Pruritus
Hygiene
Public Health
Age Groups
Prospective Studies
Pain

Keywords

  • Cardiovascular alterations
  • Centruroides limpidus tecomanus
  • Scorpion envenoming

ASJC Scopus subject areas

  • Toxicology

Cite this

Pediatric electrocardiograph abnormalities following Centruroides limpidus tecomanus scorpion envenomation. / Diaz, P.; Chowell, G.; Ceja, G.; D'Auria, T. C.; Lloyd, R. C.; Castillo-Chavez, Carlos.

In: Toxicon, Vol. 45, No. 1, 01.2005, p. 27-31.

Research output: Contribution to journalArticle

Diaz, P. ; Chowell, G. ; Ceja, G. ; D'Auria, T. C. ; Lloyd, R. C. ; Castillo-Chavez, Carlos. / Pediatric electrocardiograph abnormalities following Centruroides limpidus tecomanus scorpion envenomation. In: Toxicon. 2005 ; Vol. 45, No. 1. pp. 27-31.
@article{42be6a4a85dc4493adbd497766ecdece,
title = "Pediatric electrocardiograph abnormalities following Centruroides limpidus tecomanus scorpion envenomation",
abstract = "Scorpionism is an endemic public health problem in Mexico [Hoffmann, C.C., 1936. La distribucion geografica de los alacranes peligrosos en la Republica Mexicana. Bol. Inst. Hygiene Mex. 2, 321; Hoffmann, C.C., Nieto, D.R., 1939. Segunda contribucion al conocimiento de los alacranes mexicanos. Anal. Inst. Biol. 10, 83-92; Mazzoti, L., Bravo-Becherelle, M.A., 1963. Scorpionism in the Mexican Republic. In: Keegan, H.L., McFarlane, W.V. (Eds.), Venomous and Poissonous Animals and Noxious Plants of the Pacific Area. Pergamon Press, London, pp. 119-131; Monroy-Velasco, J., 1961. Alacranes venenosos de Mexico. Rev. Mex. Cien. Med. Biol., Mex. 1, 1-23; Diaz-Najera, A., 1975. Listas y datos de distribucion geografica de los alacranes de Mexico. Rev. Inv. Salud. Publica. (Mex.) 35, 1; Velasco-Castrejon, O., Lara-Aguilera, R., Alatorre, H., 1976. Aspectos epidemiologicos y clinicos de la picadura de alacran en una area hiperendemica. Rev. Inv. Salud Publica. (Mex.) 36, 93-103; Dehesa-Davila, M., Possani, L.D., 1994. Scorpionism and serotherapy in Mexico. Toxicon 32 (9), 1015-1018]. In this prospective study, we assess cardiovascular disorders in children via electrocardiographic (ECG) recordings following envenomation by scorpion species Centruroides limpidus tecomanus found in the state of Colima, Mexico. We analyzed 113 cases between the ages of 5 and 14 years. Among the most frequent symptoms presented included local pain (99.1{\%}) and paresthesia (75.2{\%}), pruritus (36.3{\%}), sialorrhoea (35.4{\%}), and nystagmus (24.8{\%}). Cardiovascular disorders were observed in 39.8{\%} of cases, 71{\%} of which were rhythm abnormalities. We find a significant association between the frequency of ECG alterations and age, whereby 8-9-year-old children are more likely to experience ECG alterations when compared with other tested age groups.",
keywords = "Cardiovascular alterations, Centruroides limpidus tecomanus, Scorpion envenoming",
author = "P. Diaz and G. Chowell and G. Ceja and D'Auria, {T. C.} and Lloyd, {R. C.} and Carlos Castillo-Chavez",
year = "2005",
month = "1",
doi = "10.1016/j.toxicon.2004.09.008",
language = "English (US)",
volume = "45",
pages = "27--31",
journal = "Toxicon",
issn = "0041-0101",
publisher = "Elsevier Limited",
number = "1",

}

TY - JOUR

T1 - Pediatric electrocardiograph abnormalities following Centruroides limpidus tecomanus scorpion envenomation

AU - Diaz, P.

AU - Chowell, G.

AU - Ceja, G.

AU - D'Auria, T. C.

AU - Lloyd, R. C.

AU - Castillo-Chavez, Carlos

PY - 2005/1

Y1 - 2005/1

N2 - Scorpionism is an endemic public health problem in Mexico [Hoffmann, C.C., 1936. La distribucion geografica de los alacranes peligrosos en la Republica Mexicana. Bol. Inst. Hygiene Mex. 2, 321; Hoffmann, C.C., Nieto, D.R., 1939. Segunda contribucion al conocimiento de los alacranes mexicanos. Anal. Inst. Biol. 10, 83-92; Mazzoti, L., Bravo-Becherelle, M.A., 1963. Scorpionism in the Mexican Republic. In: Keegan, H.L., McFarlane, W.V. (Eds.), Venomous and Poissonous Animals and Noxious Plants of the Pacific Area. Pergamon Press, London, pp. 119-131; Monroy-Velasco, J., 1961. Alacranes venenosos de Mexico. Rev. Mex. Cien. Med. Biol., Mex. 1, 1-23; Diaz-Najera, A., 1975. Listas y datos de distribucion geografica de los alacranes de Mexico. Rev. Inv. Salud. Publica. (Mex.) 35, 1; Velasco-Castrejon, O., Lara-Aguilera, R., Alatorre, H., 1976. Aspectos epidemiologicos y clinicos de la picadura de alacran en una area hiperendemica. Rev. Inv. Salud Publica. (Mex.) 36, 93-103; Dehesa-Davila, M., Possani, L.D., 1994. Scorpionism and serotherapy in Mexico. Toxicon 32 (9), 1015-1018]. In this prospective study, we assess cardiovascular disorders in children via electrocardiographic (ECG) recordings following envenomation by scorpion species Centruroides limpidus tecomanus found in the state of Colima, Mexico. We analyzed 113 cases between the ages of 5 and 14 years. Among the most frequent symptoms presented included local pain (99.1%) and paresthesia (75.2%), pruritus (36.3%), sialorrhoea (35.4%), and nystagmus (24.8%). Cardiovascular disorders were observed in 39.8% of cases, 71% of which were rhythm abnormalities. We find a significant association between the frequency of ECG alterations and age, whereby 8-9-year-old children are more likely to experience ECG alterations when compared with other tested age groups.

AB - Scorpionism is an endemic public health problem in Mexico [Hoffmann, C.C., 1936. La distribucion geografica de los alacranes peligrosos en la Republica Mexicana. Bol. Inst. Hygiene Mex. 2, 321; Hoffmann, C.C., Nieto, D.R., 1939. Segunda contribucion al conocimiento de los alacranes mexicanos. Anal. Inst. Biol. 10, 83-92; Mazzoti, L., Bravo-Becherelle, M.A., 1963. Scorpionism in the Mexican Republic. In: Keegan, H.L., McFarlane, W.V. (Eds.), Venomous and Poissonous Animals and Noxious Plants of the Pacific Area. Pergamon Press, London, pp. 119-131; Monroy-Velasco, J., 1961. Alacranes venenosos de Mexico. Rev. Mex. Cien. Med. Biol., Mex. 1, 1-23; Diaz-Najera, A., 1975. Listas y datos de distribucion geografica de los alacranes de Mexico. Rev. Inv. Salud. Publica. (Mex.) 35, 1; Velasco-Castrejon, O., Lara-Aguilera, R., Alatorre, H., 1976. Aspectos epidemiologicos y clinicos de la picadura de alacran en una area hiperendemica. Rev. Inv. Salud Publica. (Mex.) 36, 93-103; Dehesa-Davila, M., Possani, L.D., 1994. Scorpionism and serotherapy in Mexico. Toxicon 32 (9), 1015-1018]. In this prospective study, we assess cardiovascular disorders in children via electrocardiographic (ECG) recordings following envenomation by scorpion species Centruroides limpidus tecomanus found in the state of Colima, Mexico. We analyzed 113 cases between the ages of 5 and 14 years. Among the most frequent symptoms presented included local pain (99.1%) and paresthesia (75.2%), pruritus (36.3%), sialorrhoea (35.4%), and nystagmus (24.8%). Cardiovascular disorders were observed in 39.8% of cases, 71% of which were rhythm abnormalities. We find a significant association between the frequency of ECG alterations and age, whereby 8-9-year-old children are more likely to experience ECG alterations when compared with other tested age groups.

KW - Cardiovascular alterations

KW - Centruroides limpidus tecomanus

KW - Scorpion envenoming

UR - http://www.scopus.com/inward/record.url?scp=9744279777&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9744279777&partnerID=8YFLogxK

U2 - 10.1016/j.toxicon.2004.09.008

DO - 10.1016/j.toxicon.2004.09.008

M3 - Article

C2 - 15581680

AN - SCOPUS:9744279777

VL - 45

SP - 27

EP - 31

JO - Toxicon

JF - Toxicon

SN - 0041-0101

IS - 1

ER -