Freshwater stingray injuries in Belém, Pará State, Brazil/ Lesiones por rayas de agua dulce en Belém, Estado de Pará, Brasil/ Lesões por arraias de água doce em Belém, Estado do Pará, Brasil
Palabras clave:
Clinical Study, Wounds and Injuries, Fresh Water.Resumen
Objective: to describe clinical and epidemiological aspects of freshwater stingray injuries in the city of Belém, Pará, brazilian amazon. Method: descriptive, epidemiological and observational study, carried out between 1999 and 2008, using medical records from hospitals in the districts of Mosqueiro, Outeiro and Cotijuba, in Belém. Results: the majority of injuries occurred in males (67.9%) being 84.8% during leisure, mainly in the dry season (July to December) (88.6%), during the day (92.9%) affecting the feet (88.4%) primarily. Participants received medical assistance in the first hour after the accident (84.4%), with local pain (99.2%) being the main complaint. 11.3% of patients had systemic manifestations. Among the complications during evolution, local infection and infection with necrosis were the most frequent (1.7%). Wound debridement was performed in 89.2% of patients. Conclusion: stingray injuries represent an important health problem for the population of the Brazilian Amazon. Understanding its epidemiological and clinical characteristics may improve patient care in the region.Referencias
Reckziegel GC, Dourado FS, Garrone Neto D, Haddad Jr V. Injuries caused by aquatic animals in Brazil: an analysis of the data present in the information system for notifiable diseases. Rev Soc Bras Med Trop. 2015; 48(4):460-467.
Halstead BW. Poisonous and venomous marine animals of the world. United States Government Printing Office: Washington, D. C; 1970.
Pedroso CM, Jared C, Charvet-Almeida P, Almeida MP, Garrone Neto D, Lira MS, et al. Morphological characterization of the venom secretory epidermal cells in the stinger of marine and freshwater stingrays. Toxicon. 2007; 50(5): 688-697.
Magalhães MR, Silva Jr NJ, Ulhoa CJ. A hyaluronidase from Potamotrygon motoro (freshwater stingrays) venom: Isolation and characterization. Toxicon. 2008; 51(6):1060-1067.
Conceição K, Konno K, Melo RL, Marques EE, Hiruma-Lima CA, Lima C, et al. Orpotrin: a novel vasoconstrictor peptide from this venom of the Brazilian stingray Potamotrygon gr. orbignyi. Peptides. 2006; 27(12):3039–3046.
Barbaro KC, Lira MS, Malta MB, Soares SL, Garrone Neto D, Cardoso JL, et al. Comparative study on extracts from the tissue covering the stingers of freshwater (Potamotrygon falkneri) and marine (Dasyatis guttata) stingrays. Toxicon. 2007; 50(5):676-687.
Rodrigues RJ. Pharmacology of South American freshwater stingray venom (Potamotrygon motoro). Trans N Y Acad Sci. 1972; 34(8):677-686.
Magalhães KW, Lima C, Piran-Soares AA, Marques EE, Hiruma-Lima CA, Lopes-Ferreira M. Biological and biochemical properties of the Brazilian Potamotrygon stingrays: Potamotrygon cf. scobina and Potamotrygon gr. orbignyi. Toxicon. 2006; 47(5):575-583.
Monteiro-dos-Santos J, Conceição K, Seibert CS, Marques EE, Silva PI Jr, Soares AB, et al. Studies on pharmacological properties of mucus and sting venom of Potamotrygon cf. henlei. Int Immunopharmacol. 2011; 11(9):1368-1377.
Haddad Jr V, Garrone Neto, D, Paula Neto JB, Marques FPL, Barbaro KC. Freshwater stingrays: study of epidemiologic, clinic and therapeutic aspects based on 84 envenomings in humans and some enzymatic activities of the venom. Toxicon. 2004; 43(3): 287-294.
Antoniazzi MM, Benvenuti LA, Lira MS, Jared SGS, Garrone Neto D, Jared C, et al. Histopathological changes induced by extracts from the tissue covering the stingers of Potamotrygon falkneri freshwater stingrays. Toxicon. 2011; 57(2):297-303.
Kimura LF, Prezotto-Neto JP, Antoniazzi MM, Jared SG, Santoro ML, Barbaro KC. Characterization of inflammatory response induced by Potamotrygon motoro stingray venom in mice. Exp Biol Med. 2014; 239(5):601-609.
Kimura LF, Prezotto-Neto JP, Távora BCLF, Faquim-Mauro EL, Pereira NA, Antoniazzi MM, et al. Mast cells and histamine play an important role in edema and leukocyte recruitment induced by Potamotrygon motoro stingray venom in mice. Toxicon. 2015; 103(9):65-73.
Meyer PK. Stingray injuries. Wilderness Environ Med. 1997; 8(1):24-28.
Silva EO, Filho EBG, Pardal PPO, Ferreira SS, Diaz PRRR. Caracteristicas de las lesiones por rayas de agua dulce (Potamotrygon sp.) en la Isla-de-Marajó, Pará, Brazil. REAS. 2018; 11(3):e201.
Abati PAM, Torrez PPQ, França FOS, Tozzi FL, Guerreiro FMB, Santos SAT, et al. Injuries caused by freshwater stingrays in the Tapajós River Basin: a clinical and sociodemographic study. Rev Soc Bras Med Trop. 2017; 50(3):374-378.
Sachett JAG, Sampaio VS, Silva IM, Shibuya A, Vale, FF, Costa FP, et al. Delayed healthcare and secondary infections following freshwater stingray injuries: risk factors for a poorly understood health issue in the Amazon. Rev Soc Bras Med Trop. 2018; 51(5):651-659.
Sá-Oliveira JC, Costa EA, Pena FPS. Acidentes por raias (Potamotrygonidae) em quatro comunidades da Área de Proteção Ambiental-APA do rio Curiaú, Macapá-AP. Biota Amazônia. 2011; 1(2):74-78.
Cermeño JR, Cermeño JJ, Salazar N, Gómez de Salazar N. Rayismo: Aspectos epidemiológicos y clínicos. Estado Bolívar, Venezuela. Kasmera. 2005; 33(1):46-50.
Clark RF, Girard RH, Rao D, Ly BT, Davis DP. Stingray envenomation: a retrospective review of clinical presentation and treatment in 119 cases. J Emerg Med. 2007; 33(1):33-37.
Bass P. Wound necrosis caused by the venom of stingrays. Pathological findings and surgical management. Med J Aust. 1984; 141(12-13):854-855.
Fenner PJ, Williamson JA, Skinner RA. Fatal and non-fatal stingray envenomation. Med J Aust. 1989; 151(11-12):621-625.
Cross TB. An unusual stingray injury the skin diver at risk. Med J Aust.1976; 2(25-26):947-948.
Halstead BW. Current status of marine biotoxicology - an overview. Clin Toxicol. 1981; 18(1):1-24.
Ikeda T. Supraventricular bigeminy following a stingray envenomation: a case report. Hawaii Med J. 1989; 48(5):162-164.
Ministério da Saúde (BR). Manual de diagnóstico e tratamento de acidentes por animais peçonhentos. Brasília (DF): Fundação Nacional de Saúde; 2001.
Torrez PP, Quiroga MM, Said R, Abati PA, França FO. Tetanus after envenomations caused by freshwater stingrays. Toxicon. 2015; 97(4):32-35.
Domingos MO, Franzolin MR, dos Anjos MT, Franzolin TM, Barbosa Albes RC, et al. The influence of environmental bacteria in freshwater stingray wound-healing. Toxicon. 2011; 58(2):147-153.
Hiransuthikul N, Tantisiriwat W, Lertutsahakul K, Libhagool A, Boonma P. Skin and Soft-Tissue infections among Tsunami survivors in Southern Thailand. Clin Infect Dis. 2005; 41(10):e93–96.
Silva JH, Giansante S, Silva RCR, Silva GB, Silva LB, Pinheiro LC. Perfil epidemiológico dos acidentes com animais peçonhentos em Tangará da Serra-MT, Brasil (2007-2016). J Health NPEPS. 2017; 2(Supl.1):5-15.
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