Las múltiples caras del edema agudo de pulmón: a propósito de dos casos clínicos

Frances Fuenmayor; Rosa Quiguantar; Xavier Proaño; Ivar González

doi:10.47464/MetroCiencia/vol28/1/2020/25-35

Authors

Frances Fuenmayor Hospital Pediátrico Baca Ortiz https://orcid.org/0000-0001-6100-6893
Rosa Quiguantar Hospital Pediátrico Baca Ortiz https://orcid.org/0000-0002-2410-6112
Xavier Proaño Hospital Pediátrico Baca Ortiz https://orcid.org/0000-0001-6017-7439
Ivar González Hospital Pediátrico Baca Ortiz https://orcid.org/0000-0002-5486-7713

DOI:

https://doi.org/10.47464/MetroCiencia/vol28/1/2020/25-35

Keywords:

Picadura de alacrán, edema agudo de pulmón, disfunción cardiaca

Abstract

Scorpion sting or scorpionism is a common cause of poisoning in various parts of the world. Scorpion venom is violently expelled and injected into the victim’s subcutaneous tissue and is detected approximately 4 to 7 minutes in general circulation. The described clinical findings of scorpion poisoning can vary from mild local symptoms such as pain and paraesthesia to systemic compromise. Sting death is due to serious complications such as: cardiogenic shock, which is the result of: adrenergic myocarditis due to massive release of catecholamines and myocarditis and ischemia due to direct poison toxicity. Acute lung edema is one of the most serious complications of scorpion sting and is manifested by a sudden dyspnea picture of cardiogenic origin. Our country has a diversity of climates due to its different geographical areas. It is for this reason that the rapid transfer from the coast to the mountains above 2500 meters high, constitutes a risk factor due to the change in atmospheric pressures being abrupt and rapid that produce exaggerated vasomotor responses at the pulmonary level.

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Author Biographies

Frances Fuenmayor, Hospital Pediátrico Baca Ortiz

Médico Pediatra, Líder del Servicio de Emergencia; Quito, Ecuador
Rosa Quiguantar, Hospital Pediátrico Baca Ortiz

Médico Pediatra Tratante, Servicio de Emergencia, Quito, Ecuador
Xavier Proaño, Hospital Pediátrico Baca Ortiz

Médico Residente, Servicio de Emergencia; Quito, Ecuador
Ivar González, Hospital Pediátrico Baca Ortiz

Gerente, Quito, Ecuador

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