From January 1984 to May 1994, 17 of 239 children under 15 years old stung by Tityus serrulatus (15.1%) or bahiensis (84.9%) presented severe envenoming. Of these patients (1-11 old; median=2 yr) 14 were T.serrulatus and three T.bahiensis. All them received scorpion antivenom i.v. at times ranging from 45 min. 5 h after the accident (median=2h). On admission, main clinical manifestations laboratory electrocardiographic changes were: vomiting (17), diaphoresis (15), tachycardia (14),...

From January, 1984 to December, 1996, 422 patients (ages 9 m-99 y, median 29 y) were admitted after being bitten by spiders which brought and identified as Phoneutria spp. Most of the bites occurred at March April months (29.2%), in houses (54.5%), during day (76.5%), limbs (feet 40.9%, hands 34.3%). Upon hospital admission, most presented only local complaints, mainly pain (92.1%) edema (33.1%) classified presenting mild (89.8%), moderate (8.5%) severe (0.5%) envenomation. Few (1.2%) did...

From February, 1981 to May, 2001, 63 children under 15 y old (ages 2 - y, median = 8 mean ± 1 SD 3 y) presenting 70 episodes of Paracoccidioidomycosis were admitted. The main clinical manifestations and laboratory features observed upon admission were: lymph node enlargement (87.1%), fever (75.7%), weakness (48.6%), pallor (41.4%), hepatomegaly (40%), splenomegaly (35.7%), anemia (90%), hypergammaglobulinemia (88.5%), eosinophilia (75.5%) hypoalbuminemia (72.5%). Moderate severe malnutrition...

From January, 1984 to March, 1999, 31 children under 15 y old (ages 1-14 y, median 8 y) were admitted after being bitten by rattlesnakes (Crotalus durissus ssp). One patient was classified as "dry-bite", 3 mild envenoming, 9 moderate envenoming and 18 severe envenoming. Most patients had neuromuscular manifestations, such palpebral ptosis (27/31), myalgia (23/31) weakness (20/31). Laboratory tests suggesting rhabdomyolysis included an increase in total blood creatine kinase (CK, 28/29)...

From January, 1984 to March, 1999, 73 children under 15 y old (ages 1-14 y, median 9 y) were admitted after being bitten by snakes of the genus Bothrops. Twenty-six percent classified as mild envenoming, 50.7% moderate envenoming and 20.6% severe envenoming. Two patients (2.7%) showed no signs Most presented local manifestations, mainly edema (94.5%), pain (94.5%) ecchymosis (73.9%) blisters (11%). Local and/or systemic bleeding was observed in 28.8% patients. Before antivenom (AV)...

Coral snakes (Micrurus spp.) are the main representatives of Elapidae in South America. However, bites by these uncommon. We retrospectively reviewed data from 11 individuals bitten coral over a 20-year period; four were confirmed (snake brought for identification) and seven highly suspected (neuromuscular manifestations) cases elapid envenoming. The classified as dry-bite (n = 1, caused M. lemniscatus; did not receive antivenom), mild 2, local manifestations with no acute myasthenic...

Introduction. Bites by Phoneutria spp. spiders are common in Brazil, although only 0.5–1% result severe envenomation, with most of these occurring children. Cases systemic envenomation adults very unusual, and no serum venom levels have been previously quantified cases. Case report. A 52-year-old man was bitten on the neck an adult female nigriventer. Immediately after bite, there intense local pain followed blurred vision, profuse sweating, tremors, episode vomiting; 1–2 h post bite patient...

Objective. To report the outcome of a patient who developed compartment syndrome after Bothrops jararaca snakebite. Case report. A 39-year-old male was admitted 5 h being bitten on lower right leg. Physical examination revealed tense swelling, ecchymosis, hypoesthesia, and intense local pain that worsened passive stretching, limited foot dorsiflexion, gingival bleeding. The case classified as moderate/severe eight vials bothropic antivenom (AV) were infused 1 postadmission. main laboratory...

Objective. To describe a prospective case series of poisonings caused by ingestion illegal rodenticides containing acetylcholinesterase inhibitors, mainly "chumbinho," followed-up the Campinas PCC for period 1 year. Case series. Seventy-six cases were included, which 53.9% males. Age ranged from 2 to 74 years (median = 36 years). The main circumstances leading poisoning intentional (suicide attempts 92.1%; homicide 5.3%), and 65.8% admitted less than hours after ingestion. Most patients...

CONTEXT AND OBJECTIVE: Poison control centers play an essential role in caring for poisoned patients, albeit without secure funding their activities. The aim here was to investigate differences length of hospital stay among between those who received remote assistance from a poison center and did not. DESIGN SETTING: A retrospective cohort including all patients hospitalized at emergency service Manaus 2005 2007 set up, the local database checked see whether they such assistance. METHODS:...

Objective: Severe hepatotoxicity caused by paracetamol is rare in neonates. We report a case of paracetamol-induced acute liver failure term neonate. Case description: A 26-day-old boy was admitted with intestinal bleeding, shock signs, slight enlargement, coagulopathy, metabolic acidosis (pH=7.21; bicarbonate: 7.1mEq/L), hypoglycemia (18mg/dL), increased serum aminotransferase activity (AST=4,039IU/L; ALT=1,087IU/L) and hyperbilirubinemia (total: 9.57mg/dL; direct: 6.18mg/dL) after...

Context: Thrombotic microangiopathy (TMA) is an uncommon and severe complication of snakebites, similar, in general, to hemolytic-uremic syndrome (HUS). We describe a case TMA following envenomation by Bothrops jararaca.Case details: A 56-y-old-woman with controlled hypertension was transferred from primary hospital our ER ∼7 h after being bitten B. jararaca the distal left leg. She developed edema extending bite site proximal thigh, associated intense radiating local pain, paresthesia...

OBJETIVO: Analisar as características das farmácias domiciliares e sua relação com a automedicação em crianças adolescentes dos municípios de Limeira Piracicaba (SP). MÉTODOS: Estudo descritivo tipo inquérito populacional domiciliar uma amostra aleatória simples ambos os municípios, constituída 705 domicílios setores censitários selecionados por meio amostragem conglomerado. Critérios inclusão: idade ≤ 18 anos; entrevista obrigatória um responsáveis; inventário da farmácia ter consumido pelo...

Context. In order to report the outcome of a patient who developed compartment syndrome after South American rattlesnake (Crotalus durissus terrificus) envenomation, confirmed by subfascial pressure measurement and magnetic resonance imaging (MRI). Case details. A 63-year-old male was admitted 1 h being bitten on right elbow "large" snake, which not brought for identification. Physical laboratory features upon admission revealed two fang marks, local tense swelling, paresthesia, intense...

Objective. The most important millipede species causing accidents in Brazil is Rhinocricus padbergi (order Spirobolida, family Rhinocricidae), a vegetarian scavenger distributed from Central to South America. Eleven clinical cases of dermal and oral accidental exposures secretions spp. milipedes are described.Case series. skin involvement after contact with the patients 1to 46 years detailed. Ten 11 involved feet 1 child mouth. Mild pain was reported two cases, transient local burning...

Context. Rattlesnake bites in Brazil are generally caused by adult individuals, with most of the envenomed patients showing systemic manifestations that include varying degrees neurotoxicity (acute myasthenia), rhabdomyolysis and coagulopathy, only mild or no local manifestations. We report a case envenoming juvenile South American rattlesnake (Crotalus durissus terrificus) involved coagulopathy as main manifestation. Case details. A 19-year-old male was admitted to our Emergency Department...