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Chest, Vol 100, 1057-1059, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Cardiac dysfunction and pulmonary edema following scorpion envenomation

F Abroug, R Boujdaria, M Belghith, S Nouira and S Bouchoucha
Service de Reanimation Polyvalente, Hopital Universitaire Fattouma Bourguiba, Monastir, Tunisia.

Cardiac dysfunction with pulmonary edema following scorpion envenomation (SE) has been documented only in a few isolated case reports. We conducted a systematic hemodynamic study in five consecutive patients (mean age, 21.6 +/- 8 years) presenting with pulmonary edema occurring a few hours (9.6 +/- 5.2 hours) after SE. All patients had increased pulmonary capillary wedge pressure (mean, 25 +/- 1.8 mm Hg) while the systemic vascular resistance was elevated only in one. The stroke volume index was markedly depressed (21.7 +/- 3.6 ml/sq m) whereas cardiac index was normal or slightly decreased (2.5 +/- 0.4 L/min/sq m). Cerebral infarct and sudden cardiac arrest were the cause of death in two patients. In the three survivors, all the hemodynamic disturbances and respiratory abnormalities disappeared within a few days. We conclude that cardiac dysfunction was found in all five patients and this was reversible in the three surviving the acute episode.


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S. Elatrous, S. Nouira, L. Besbes-Ouanes, M. Boussarsar, R. Boukef, S. Marghli, and F. Abroug
Dobutamine in Severe Scorpion Envenomation: Effects on Standard Hemodynamics, Right Ventricular Performance, and Tissue Oxygenation
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[Abstract] [Full Text] [PDF]

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H S BAWASKAR, P H BAWASKAR;, F ABROUG, S NOUIRA, and S ELATROUS;
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Copyright © 1991 by the American College of Chest Physicians.