{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:24:09Z","timestamp":1721780649948},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,23]]},"abstract":"<jats:p>Priapism as a complication of scorpionism in children is rare and is categorized as grade II of severity. The pathogenesis is the activation of parasympathetic pathways that stimulate the release of acetylcholine. An 8-year-old boy, a known case of steroid-dependent nephrotic syndrome, presented with a history of persistent penile erection for the previous 12 hours. He had a history of a black scorpion (<jats:italic>Heterometrus swammerdami<\/jats:italic>) sting on his right leg 4 days earlier. He was given adequate analgesia, and prazosin was started at 30 <jats:italic>\u00b5<\/jats:italic>g\/kg\/dose because of the parasympathetic overactivity. Doppler ultrasonography of the penile shaft showed a bilateral thickened, bulky, and edematous corpus cavernosa and no arterial flow due to venous congestion, suggesting ischemic (low-flow) priapism. Detumescence was not accomplished with saline irrigation and aspiration or with intracorporeal irrigation with phenylephrine. Thus, a distal T-shunt was done. We illustrate an interesting case of scorpion envenomation with delayed ischemic priapism.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0223","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T21:11:04Z","timestamp":1721769064000},"source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Scorpion Envenomation with Delayed Ischemic Priapism in a Preadolescent\u2014An Unusual Presentation"],"prefix":"10.4269","author":[{"given":"Rahul","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep Kumar","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency (Pediatrics), All India Institute of Medical Sciences, Jodhpur, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautam Ram","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.24-0223\/article-10.4269-ajtmh.24-0223.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/aop\/article-10.4269-ajtmh.24-0223\/article-10.4269-ajtmh.24-0223.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/aop\/article-10.4269-ajtmh.24-0223\/article-10.4269-ajtmh.24-0223.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T21:11:04Z","timestamp":1721769064000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.24-0223\/article-10.4269-ajtmh.24-0223.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4269\/ajtmh.24-0223","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,23]]}}}