Open AccessFATAL ANAPHYLAXIS TO Jaguajir rochae (BORELLI, 1910) (SCORPIONES, BUTHIDAE) IN BRAZIL: A CASE REPORT
Author(s) -
Iva Maria Lima Araujo Melo,
Relrison Dias Ramalho,
Maria Mercedes Vieira Bezerra,
Ivan Eduardo de Oliveira Filho,
Carlos Roberto de Medeiros,
Maria Apolônia da Costa Gadelha,
Pedro Pereira de Oliveira Pardal
Publication year - 2019
Publication title -
revista de patologia tropical / journal of tropical pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.128
H-Index - 1
eISSN - 1080-8178
pISSN - 0301-0406
DOI - 10.5216/rpt.v48i3.60349
Subject(s) - sting , medicine , anaphylaxis , envenomation , buthidae , scorpion , asphyxia , dermatology , allergy , anesthesia , venom , biology , ecology , engineering , immunology , aerospace engineering
A 44-year-old healthy farmer, was stung by a scorpion on his right hand while preparing soil for planting in the Caatinga area (a large area in the north-east of Brazil characterized by semiarid scrub forest), in the Catarina Municipality countryside, Ceará State, Brazil. According to the reports of carers and family members, the patient initially reported mild pain at the site of the sting, but within a few minutes he developed malaise, pruritus in the body and throat, edema in the nostrils, and a dry mouth which led to looking for water to drink. It rapidlyevolved into sphincter, urinary and fecal release, salivation and a convulsive episode with loss of the senses. He was dead on arrival at Catarina Municipality Hospital emergency department.The necroscopic report indicated suffocation due to glottal edema and acute lung edema as the “cause of death”. The animal which caused the accident was under a rock that the patient was manipulating at the time of the incident, and has been identified by experts as Jaguajir rochae (Borelli, 1910) scorpion species, formerly synonymized Rhopalurus rochae. This is the first report of a fatality due to an allergic reaction to the venom of this species. This leads to the possibility that deaths caused by stings from other scorpion species may be due to anaphylaxis, whose symptoms in some situations may be confused with severe envenomation.
KEY WORDS: Jaguajir rochae; scorpionism; anaphylaxis; allergy