• Polianna Lemos Moura Moreira Albuquerque, Karla do Nascimento Magalhaes, Tamiris de Castro Sales, José Hícaro Hellano Gonçalves Lima Paiva, DaherElizabeth de FrancescoEFFortaleza, Programa de Pós-Graduação em Ciências Médicas, Universidade Federal do Ceará, Ceará, Brazil., and Silva JuniorGeraldo Bezerra daGBDProgramas de Pós-Graduação em Saúde Coletiva e Ciências Médicas,, Curso de Medicina, Universidade de Fortaleza, Fortaleza, Ceará, Brazil..
• Fortaleza, Programa de Pós-Graduação em Ciências Médicas, Universidade Federal do Ceará, Ceará, Brazil.
• Rev. Inst. Med. Trop. Sao Paulo. 2018 Jan 1; 60: e30.

AbstractDespite the high number of accidents due to scorpion stings in Brazil, severe cases in adults are seldomly reported. In the Northeast region of Brazil, Tityus stigmurus is the most prevalent species. A 69 year-old woman who was stung by a scorpion attended the emergency room 5 hours after envenomation. She got worse due to abdominal pain. Clinical findings were concordant with class III scorpion envenomation (major systemic manifestations), complicated by acute kidney injury and acute pancreatitis. Intensive supportive therapy was adopted. In the follow-up, 3 months later, she was completely recovered. This report is being brought to recommend the thorough management of victims of scorpion accidents, enabling early diagnosis of severe complications, which could lead to death if aggressive supportive measures are not early and adequately taken.

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