{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:38:29Z","timestamp":1792453109204,"version":"4.5.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Scorpion envenomation is a common medical emergency in many countries, including Turkey. Severe systemic symptoms occur more easily in children and mortality rates are higher. The aim of this study is to describe the clinical effects and predictive factors affecting the clinical severity of scorpion envenomations in Western Turkey.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Two hundred one children (138 mild cases, 34 moderate, and 29 severe) with scorpion envenomation aged between 1 month and \u221217\u2009years were included in the study. The patients\u2019 demographic and laboratory characteristics were compared among clinical severity subgroups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The patients\u2019 median age was 7 (4\u201311) years. The median age of the severe group was significantly lower than that of the mild and moderate groups (p\u2009&amp;lt;\u20090.001). Seventeen patients (8.5%) developed myocarditis, while no pulmonary edema was observed in any case. Leukocyte, neutrophil and platelet (PLT) counts, and plateletcrit (PCT) and glucose levels increased significantly with the severity of envenomation (p\u2009&amp;lt;\u20090.001). PLT counts and PCT levels exhibited positive correlation with leukocyte and neutrophil counts (p\u2009&amp;lt;\u20090.001, r\u2009=\u20090.781, r\u2009=\u20090.638, r\u2009=\u20090.772, and r\u2009=\u20090.629, respectively). Supraventricular tachycardia developed in 1 (5.9%) patient, and dilated cardiomyopathy in another (5.9%). No mortality occurred in any case.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Increased PLT counts and PCT levels may be helpful in evaluating clinical severity in patients with scorpion sting envenomation. The possibility of myocarditis development in children should be remembered and cardiac enzymes should be checked, even if patients are asymptomatic and cardiac enzymes are normal on admission.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/tropej\/fmab053","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T19:35:06Z","timestamp":1623094506000},"source":"Crossref","is-referenced-by-count":9,"title":["Clinical Effects and Predictive Factors Affecting the Clinical Severity of Scorpion Envenomations in Western Turkey"],"prefix":"10.1093","volume":"67","author":[{"given":"Elif","family":"\u00c7elik","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Adnan Menderes University, Ayd\u0131n 09010, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aykut","family":"\u00c7a\u011flar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Care, Faculty of Medicine, Adnan Menderes University, Ayd\u0131n, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan Fazl\u0131","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Faculty of Medicine, Adnan Menderes University, Ayd\u0131n, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,2]]},"reference":[{"key":"2021070811480443100_fmab053-B1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s13643-017-0469-8","article-title":"Management of scorpion envenoming: a systematic review and meta-analysis of controlled clinical trials","volume":"6","author":"Rodrigo","year":"2017","journal-title":"Syst Rev"},{"key":"2021070811480443100_fmab053-B2","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.wem.2016.08.003","article-title":"Clinical and epidemiological aspects of scorpionism in the world: a systematic 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