<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032025000200124</article-id>
<article-id pub-id-type="doi">10.31698/ped.52022025009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y epidemiológicas de alacranismo en pacientes pediátricos en un hospital de referencia (2022-2023)]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and Epidemiological Characteristics of Scorpion Envenomation in Pediatric Patients at a Referral Hospital (2022-2023)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[Tanya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lovera]]></surname>
<given-names><![CDATA[Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jara]]></surname>
<given-names><![CDATA[Aaron]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Nicolas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Apodaca]]></surname>
<given-names><![CDATA[Silvio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña]]></surname>
<given-names><![CDATA[Julia Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galeano]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez de Cuellar]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica de Asunción Departamento de Postgrado ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>52</volume>
<numero>2</numero>
<fpage>124</fpage>
<lpage>132</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032025000200124&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032025000200124&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032025000200124&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Durante el periodo 2022/2023 se registró un incremento de accidentes por alacranismo en Paraguay, así como del número de consultas en la sala de urgencias de un hospital de referencia, con algunos casos severos y fatales.  Objetivo:  Describir las características epidemiológicas, clínicas y evolutivas de pacientes con alacranismo &lt; 16 años atendidos en sala de urgencias de un hospital de referencia.  Materiales y Métodos:  Estudio observacional descriptivo, retrospectivo, longitudinal con componente analítico. Se incluyeron pacientes &lt;16 años atendidos en sala de urgencias de un hospital de referencia, con diagnóstico de alacranismo desde octubre/2022 hasta diciembre/2023. Se recolectaron variables epidemiológicas, clínicas, laboratoriales y evolutivas. Se clasificaron según severidad en leve, moderada y grave en base a la Guía nacional vigente.  Resultados: 117 pacientes con alacranismo fueron incluidos, el 9.4%(11/117) requirió internación. El 60%(70/117) eran &gt;5años; el 57,2%(67/117) del sexo femenino. La mayoría de los casos entre octubre a diciembre, el 88.8%(104/117) eran procedentes de Asunción y Central. La localización más frecuente de picadura fue en miembros inferiores 46.1%(54/117). En el 30,7%(36/117) se identificó el tipo de escorpión, de los cuales 31 fueron del género Tityus. Todos los severos y 5/6 moderados fueron causados por Tityus sp. Las manifestaciones clínicas más comunes fueron las locales (82.9% de los casos), seguidas de las gastrointestinales (8.5%) y neurológicas (4.3%). A su ingreso presentaron 10933 ±5265 leucocitos/mm3 y plaquetas 324739 ± 89796/mm3. El 91.4%(107/117) correspondió a casos leves, 5,1%(6/117) moderados y 3.4%(4/117) graves. Fueron hospitalizados todos los casos moderados y severos, y 1 caso leve. El 6.8%(8/117) ingresó a UCIP. Recibieron suero específico 9 pacientes (todos los casos severos y 5/6 moderado), de los cuales 7 pacientes recibieron suero polivalente antiarácnido y 2 suero monovalente para T. serrulatus. La letalidad en la muestra estudiada fue del 1,7% (2/117), siendo la causa choque cardiogénico, arritmia y falla orgánica múltiple.  Conclusión:  La mayoría de los casos fueron leves, más frecuentes en meses calurosos. Los casos moderados y graves fueron causados por Tityus sp. Las causas más frecuentes de mortalidad fueron el choque cardiogénico, arritmia y falla orgánica múltiple.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: During the 2022-2023 period, Paraguay experienced an increase in scorpion sting accidents, as well as in the number of emergency department consultations at a referral hospital, with some severe and fatal cases reported.  Objective:  To describe the epidemiological, clinical, and outcome characteristics of patients under 16 years of age with scorpion envenomation treated in the emergency department of a referral hospital.  Materials and Methods: This was an observational, descriptive, retrospective, longitudinal and analytical study. Patients under 16 years of age treated in the emergency department of a referral hospital with a diagnosis of scorpion envenomation between October 2022 and December 2023 were included. Epidemiological, clinical, laboratory, and outcome variables were collected. Cases were classified as mild, moderate, or severe according to the current national guidelines.  Results: A total of 117 patients with scorpion envenomation were included; 9.4% (11/117) required hospitalization. Sixty percent (70/117) were older than 5 years, and 57.2% (67/117) were female. Most cases occurred between October and December, and 88.8% (104/117) were from Asunción and Central Department. The most frequent sting site was the lower limbs (46.1%, 54/117). The scorpion species was identified in 30.7% (36/117) of cases, of which 31 belonged to the genus Tityus. All severe cases and 5/6 moderate cases were caused by Tityus sp. The most common clinical manifestations were local symptoms (82.9%), followed by gastrointestinal (8.5%) and neurological (4.3%) symptoms. On admission, patients presented with a mean leukocyte count of 10,933 ± 5,265/mm³ and a platelet count of 324,739 ± 89,796/mm³. Most cases were mild (91.4%, 107/117), followed by moderate (5.1%, 6/117) and severe (3.4%, 4/117) cases. All moderate and severe cases, as well as one mild case, were hospitalized. A total of 6.8% (8/117) were admitted to the PICU. Nine patients received specific antivenom (all severe cases and 5/6 moderate cases), of whom seven received polyvalent anti-arachnid serum and two received monovalent serum for Tityus serrulatus. The case fatality rate was 1.7% (2/117), with deaths due to cardiogenic shock, arrhythmia, and multiple organ failure.  Conclusion: Most cases were mild and occurred more frequently during warmer months. Moderate and severe cases were caused by Tityus sp. The most common causes of mortality were cardiogenic shock, arrhythmia, and multiple organ failure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Envenenamiento]]></kwd>
<kwd lng="es"><![CDATA[alacranismo]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[severidad]]></kwd>
<kwd lng="en"><![CDATA[Envenomation]]></kwd>
<kwd lng="en"><![CDATA[scorpionism]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[severity]]></kwd>
</kwd-group>
</article-meta>
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