Management of Recurrent Keratitis as a Complication of Androctonus crassicauda Black Scorpion Sting: A Case Report.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-01-06 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S486917
Asem Alqudah, Abdel Rahman Bani Yassin, Said Yaseen, Leen El Taani
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引用次数: 0

Abstract

Scorpions are a group of arthropods known to be highly toxic to humans. We report the case of a previously healthy 61-year-old male who sustained a sting from an Androctonus crassicauda scorpion to his right eye. The patient was admitted to the intensive care unit (ICU) in a comatose state immediately after the sting. A few days later, he suffered from tearing right-eye pain and loss of vision, which persisted despite initial treatment. The patient was subsequently diagnosed with keratitis and admitted to King Abdullah University Hospital (KAUH). He was prescribed various antibiotics, which initially improved his condition. However, the patient experienced subsequent deterioration and recurrent episodes of keratitis. The patient's visual acuity improved after treatment with a combination of antifungal and antibiotic medications, suggesting a polymicrobial infection. Despite the improvement in his condition, the sting left a central corneal scar, necessitating corneal transplant surgery as a definitive treatment. To the best of our knowledge, this scenario has not been previously documented.

作为 Androctonus crassicauda 黑蝎螫伤并发症的复发性角膜炎的处理:病例报告。
蝎子是一种节肢动物,已知对人类有剧毒。我们报告了一名先前健康的61岁男性,他的右眼被一只横纹雄蛾蝎子蜇伤。患者在蜇伤后立即进入昏迷状态的重症监护病房(ICU)。几天后,他遭受撕裂性右眼疼痛和视力丧失,尽管最初的治疗仍然存在。患者随后被诊断为角膜炎,并住进阿卜杜拉国王大学医院(KAUH)。医生给他开了各种抗生素,初步改善了他的病情。然而,患者经历了随后的恶化和角膜炎的反复发作。在联合使用抗真菌药物和抗生素药物治疗后,患者的视力有所改善,提示多重微生物感染。尽管他的病情有所好转,但蜇伤在角膜中央留下了疤痕,必须进行角膜移植手术作为最终治疗。据我们所知,这种情况以前没有记录过。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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