{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T18:00:44Z","timestamp":1778954444466,"version":"3.51.4"},"reference-count":18,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,9]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Scorpion stings are common emergencies in the tropics. Species-specific antivenom therapies are available. However, fatalities resulting from scorpion stings remain a public health concern in many settings. Children residing in rural towns and peri-urban areas represent the most vulnerable populations. Delays in the diagnosis of scorpion stings often occur as a result of the non-specific clinical presentations, which then lead to life-threatening complications. We report a 2-year-old Venezuelan boy presenting with acute pancreatitis and pulmonary edema without an identifiable cause 48 hours after his initial symptoms. We administered antivenom therapy when an undetected scorpion sting was suspected. Despite some initial clinical improvement with respect to his acute pancreatitis, pulmonary edema, and coagulation abnormalities, our patient experienced an ischemic stroke. Fortunately, our patient did demonstrate some neurological improvement. Although acute pancreatitis and pulmonary edema are known end-organ damage manifestations of the sting of <jats:italic>Tityus<\/jats:italic> in the Americas, our particular case illustrates the risk of ischemic stroke.<\/jats:p>","DOI":"10.4269\/ajtmh.21-0880","type":"journal-article","created":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T12:27:53Z","timestamp":1638188873000},"page":"959-961","source":"Crossref","is-referenced-by-count":6,"title":["Ischemic Stroke in a Child after a Probable Scorpion Sting"],"prefix":"10.4269","volume":"106","author":[{"given":"Laura","family":"Naranjo","sequence":"first","affiliation":[{"name":"Policl\u00ednica Metropolitana, Caracas, Venezuela;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Carrillo-Villase\u00f1or","sequence":"additional","affiliation":[{"name":"Tecnol\u00f3gico de Monterrey, Ciencias de la Salud y Escuela de Medicina, Guadalajara, Mexico;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gina","family":"D\u2019Suze","sequence":"additional","affiliation":[{"name":"Instituto Venezolano de Investigaciones Cient\u00edficas, CBB, Caracas, Venezuela;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Sevcik","sequence":"additional","affiliation":[{"name":"Instituto Venezolano de Investigaciones Cient\u00edficas, CBB, Caracas, Venezuela;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Gundacker","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, Wisconsin;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Rao","sequence":"additional","affiliation":[{"name":"University of Colorado, Anschutz Medical Center, Aurora, Colorado;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Franco-Paredes","sequence":"additional","affiliation":[{"name":"University of Colorado, Anschutz Medical Center, Aurora, Colorado;"},{"name":"Hospital Infantil de M\u00e9xico, Federico Gomez, Mexico City, Mexico;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Antonio","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Instituto Conmemorativo Gorgas de Estudios de la Salud, Investigador SNI-SENACYT, Ciudad de Panama, Panama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","year":"2015"},{"key":"b2","series-title":"Scorpion Venoms","year":"2015"},{"key":"b3","series-title":"Gu\u00eda Pr\u00e1ctica de Artr\u00f3podos Venenosos y\/o Causantes de Alergia de Panam\u00e1: Alacranes, Ara\u00f1as y \u00c1caros","year":"2021"},{"key":"b4","series-title":"Clin 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respuesta inflamatoria sist\u00e9mica","year":"2000"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/3\/article-p959.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/106\/3\/article-p959.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/106\/3\/article-p959.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:48:48Z","timestamp":1760964528000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/3\/article-p959.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,9]]},"references-count":18,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.21-0880","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,9]]}}}