FATAL ANAPHYLAXIS TO Jaguajir rochae (BORELLI, 1910) (SCORPIONES, BUTHIDAE) IN BRAZIL: A CASE REPORT

  • Iva Maria Lima Araujo Melo Núcleo de Epidemiologia da Coordenadoria de Vigilância em Saúde ? SESA/CE. Fortaleza-CE, Brasil.
  • Relrison Dias Ramalho Núcleo de Controle de Vetores/NUVET-SESA/CE. Fortaleza-CE, Brasil.
  • Maria Mercedes Vieira Bezerra Núcleo de Epidemiologia da Coordenadoria de Vigilância em Saúde ? SESA/CE. Fortaleza-CE, Brasil.
  • Ivan Eduardo de Oliveira Filho Núcleo de Controle de Vetores/NUVET-SESA/CE. Fortaleza-CE, Brasil
  • Carlos Roberto Medeiros Hospital Vital Brazil, Instituto Butantan. São Paulo, Brasil.
  • Maria Apolônia da Costa Gadelha Centro de Informações Toxicológicas de Belém/Hospital Universitário João de Barros Barreto da Universidade Federal do Pará. Belém, Pará, Brasil.
  • Pedro Pereira de Oliveira Pardal Centro de Informações Toxicológicas de Belém/Hospital Universitário João de Barros Barreto da Universidade Federal do Pará. Belém, Pará, Brasil.

Abstract

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 rapidly
evolved 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

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Published
2019-11-05
How to Cite
Lima Araujo Melo, I. M., Dias Ramalho, R., Vieira Bezerra, M. M., de Oliveira Filho, I. E., Roberto Medeiros, C., da Costa Gadelha, M. A., & Pereira de Oliveira Pardal, P. (2019). FATAL ANAPHYLAXIS TO Jaguajir rochae (BORELLI, 1910) (SCORPIONES, BUTHIDAE) IN BRAZIL: A CASE REPORT. Revista De Patologia Tropical / Journal of Tropical Pathology, 48(3), 187-194. https://doi.org/10.5216/rpt.v48i3.60349
Section
RELATO DE CASO / CASE REPORT