[Scorpionfish (Scorpaena plumieri) envenomation in a fishing and turistic community of Paraguaná peninsula, Falcón state, Venezuela: clinical, epidemiological and treatment aspects]. / Envenenamiento por pez escorpión (Scorpaena plumieri) en una comunidad pesquera y turística de la península de Paraguaná, estado Falcón, Venezuela: aspectos clínicos, epidemiológicos y tratamiento.
Invest Clin
; 49(3): 299-307, 2008 Sep.
Article
em Es
| MEDLINE
| ID: mdl-18846771
ABSTRACT
Thirty six patients apparently envenomed by the scorpion fish Scorpaena plumieri, consulting to the ambulatory emergency of a fishing and turistic town Adícora, state Falcón, Venezuela, from December 2006 to April 2007, allowed us to carry out a descriptive analysis of the clinical, epidemiology and treatment of this envenoming. Envenomation percentages were not significantly different between sex or age (X2=0.03, p= 0.758; X2=0.06; p=0.81, respectively). Most of the accidents occurred in february and april (> 50%), in the afternoon (83.33%) when individuals were bathing or swimming at the beach (97.22%), suggesting a seasonal pattern. The time between ambulatory medical assistance and the accident varied from 3 to 30 minutes, with a mean time of 5.97 +/- 4.39. The cutting injuries were located at the feet in all patients, with 0.2 to 3 cm (X=1.04 +/- 0.86) of length and between 1 to 2 mm of width. Clinical manifestations observed were intense and irradiated pain (100%) (VAS=X 9.39 +/- 0.60), edema (27.78%) and erythema (22.22%). One case had systemic manifestations hypotension and faintness. Treatment consisted of infiltration with lidocaine (1%), systemic anti-inflmatory-analgesia (100 mg, orally every 8 hours for 5 days) and antibiotic therapy per os (500 mg, 2 daily dose for 10 days). All patients had a satisfactory post-treatment evolution, between 5 to 120 (X=30.11 +/- 33.30) minutes, with a pain VAS mean values significantly lower (0.72 +/- 0.62; t=52.2, p=0.0001).
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mordeduras e Picadas
/
Peixes Venenosos
/
Venenos de Peixe
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Animals
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Child
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Child, preschool
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
America do sul
/
Venezuela
Idioma:
Es
Ano de publicação:
2008
Tipo de documento:
Article