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Gaceta Médica Boliviana
versión impresa ISSN 1012-2966versión On-line ISSN 2227-3662
Resumen
AUZA-SANTIVANEZ, Jhossmar Cristians y FRANCO LACATO, Alex Omar. Scorpion sting in Bolivia: a critical review of the literature. Gac Med Bol [online]. 2023, vol.46, n.2, pp.108-113. Epub 01-Dic-2023. ISSN 1012-2966. https://doi.org/10.47993/gmb.v46i2.583.
Bites are frequent and are considered a real public health problem.
Objective:
describe the species of scorpions, properties of the venom, pathophysiology, clinical manifestations, diagnosis and its management in the intensive care unit.
Methodology:
a literature search was carried out in the SciELO, LILACS, Scopus, PubMed-MedLine, Google Scholar databases, as well as in the ClinicalKeys services, in the period February-April 2023. Relevant information was extracted, They selected case series studies, original articles or narrative, scoping and systematic reviews.
Development:
in Bolivia, the species Tityus (Tityus) sorataensis was described. 66 to 90 percent of bites have signs and symptoms limited to local pain, paresthesias, and skin changes. Systemic effects become apparent within 30 minutes and generally within four hours of being bitten. The treatment can be empirical, apply general measures, pain management and if some complications are present such as pulmonary edema, cardiogenic shock, it is necessary to manage it in an intensive care room.
Conclusions:
Scorpion sting poisoning is rare, it is a therapeutic challenge, it seems to be advisable to administer the antidote (antivenoin) together with supportive treatment. a better understanding of scorpions may encourage interest in further research.
Palabras clave : antivenins; scorpions; poisoning; sorataensis; tityus.