Scorpion Sting and Acute Kidney Injury: Case Series from Pakistan
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 9, Issue 10
Abstract
Objectives: We aim to report here a series of cases developing AKI after scorpion stings. Patients and Methods: During a period of 25 years that is; from January 1990- December 2014 all the patients coming to Sindh Institute of Urology and Transplantation, with AKI after scorpion sting are included in study. AKI was defined according to RIFLE criteria and Scorpion sting was labeled on history of person stung by scorpion. Results: During studied period 18 patients were brought with scorpion sting. Mean age of patients was 29.22±18.48 years, 7 were male and 11 females. Mean duration of insult was 8.94±4.12 days. Sixteen out of 18 patients were either oliguric or anuric on presentation. Uremia was advanced on arrival with mean urea of 324.38±116.82 and creatinine of 11.8±4.30 mg/dl. Hyponatremia was a common finding with mean sodium of 129.16±8.76 meq/l. Extensive tissue damage at site of sting observed in many patients and mean values for LDH and CK were 2349.71±3499.15 and 3116.23±5468.22 U/L respectively. Hemodialysis required in all patients. Complete renal recovery seen in 13 patients, 2 expired and 3 discharged from hospital in partial state of recovery and never turned for follow up. Conclusion: Scorpion sting is major health problem in many parts of our country, in majority it takes a benign course but in some may affect multiple organs and result in death, especially if initial treatment is delayed.
Authors and Affiliations
Rubina Naqvi
Keywords
Related Articles
- EP ID EP347674
- DOI 10.9734/BJMMR/2015/19611
- Views 68
- Downloads 0
Arguments in Support and Against Euthanasia
The aim of this article is to present and confront the arguments in support of euthanasia and physician assisted suicide, and the arguments against. The arguments for and against euthanasia are listed and discussed to li...
Evaluation of Maternal Thyroid Hormone Status and Atherogenic Potency in Pre Eclampsia in Kolar District- A South West of India
Aim: To determine maternal thyroid hormone status and lipid profile in preeclampsia. Study Design: A prospective case control study consist of two groups such as group 1 normotensive non-preeclamptic group and group 2 a...
A New Theoretical Medical Model: The Four Dimensional Model
Under the guide of the medical models, we clearly know the nature of many diseases. However, a lot of complicated diseases, the polygenic and multi-factorial diseases for example, are remained unexplained. Here, we propo...
A Case of Age Related Macular Degeneration Responding to a Statin – Perspective for a New Treatment
The newly started use of atorvastatin eliminated the need for further intravitreal injections of ranibizumab for 37 months in a case of wet form of age related macular degeneration(AMD). Repeated optical coherence tomogr...
Danazol-induced Acute Pulmonary Fibrosis in a Patient with Idiopathic Thrombocytopenic Purpura: Could Anti Fibrosant Therapy be Useful?
Introduction: Danazol is frequently used in the treatment of idiopathic thrombocytopenic purpura (ITP). Very occasionally are described in the elderly fatal respiratory complications related to this drug such as acute pu...