Clinical-Laboratory Profile of Child and Young Populations Bit By Scorpion Attended at a Information and Assistance Toxicological Center in Brazil

Abstract

<p style="text-align: justify;"><strong>Background: </strong>In Brazil, the most relevant scorpions for public health are species of the genus Tityus:<em> T. serrulatus, T. bahiensis, T. obscurus </em>and <em>T. stigmurus,</em> the latter occurring mainly in Cear&aacute;, showing that severe cases affect more the population at risk, children under 14 years old. <strong>Objectives:</strong> The survey aims to identify what are the clinical and laboratory changes in children and teenagers affected by scorpion bites, as well as predictive factors in severe cases. <strong>Methods:</strong> This is an observational, retrospective and quantitative study of poisoning by scorpion accidents attended and notified by the Toxicological Assistance Center of Fortaleza (CIATOX / CE) from January to December 2019. <strong>Results: </strong>820 records were diverted, in which 425 (51.83%) women were killed, of which only 3 (0.37%) were pregnant. Regarding the age group, 1-3 years old is more frequent, 183 (22.32%). The species <em>T. stigmurus </em>534 cases, (65.12%), the feet region 271 cases (33.04%); the origin of the municipality of Fortaleza 773 (94.15%) and the regional II 122 cases (15.78%) had higher occurrences. Of the 820 cases, only 12 underwent laboratory tests, showing changes such as leukocytosis leukocytosis (72.7%), platelets (63.6%), hyperglycemia (83.3%), TGO (100%), LDH (100%), CK - MB (100%) and Amylase (30%). <strong>Conclusion:</strong> It was found that the epidemiological, clinical and laboratory profile of children and adolescentes is associated with the severity of scorpionism, which indicates an emergency characteristic, especially when it affects children. <p style="text-align: justify;"><strong>Keywords:</strong> Scorpions, Clinic Epidemiology, Intoxications, Children and youth, Tityus.