<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000300028</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Picadura de escorpión, revisión de la literatura y actualización]]></article-title>
<article-title xml:lang="en"><![CDATA[Scorpion sting, literature review and update]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viruez-Soto]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Auza-Santiváñez]]></surname>
<given-names><![CDATA[Jhossmar Cristians]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Condori-Villca]]></surname>
<given-names><![CDATA[Nayra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segales-Camacho]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Beltrán]]></surname>
<given-names><![CDATA[Joel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prieto-Jemio]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital del Norte El Alto Departamento de Apoyo Crítico. El Alto ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital del Gran Chaco &#8220;Fray Quebracho&#8221; Comité Infectología Crítica y Sepsis ]]></institution>
<addr-line><![CDATA[Tarija ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Red de Salud Yacuiba Departamento de Endocrinología ]]></institution>
<addr-line><![CDATA[Tarija ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Caja de Salud de la Banca Privada. Servicio de Infectología. ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Gastroenterología Boliviano Japonés Unidad de Terapia Intensiva ]]></institution>
<addr-line><![CDATA[Sucre ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Universitario &#8220;Martín Dockweiler&#8221; Unidad de Terapia Intensiva. ]]></institution>
<addr-line><![CDATA[Santa Cruz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000300028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000300028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000300028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: las picaduras de escorpión son comunes en diversas partes del mundo y son un verdadero problema de salud pública.  Objetivo: describir las especies de alacranes, características del veneno, fisiopatología, manifestaciones clínicas, clasificación de la gravedad, diagnóstico y su manejo en la unidad de cuidados intensivos.  Métodos: se realizó una búsqueda de información en el periodo febrero-marzo de 2023 en las bases de datos SciELO, Scopus, PubMed/MedLine, el buscador Google Académico, así como en los servicios ClinicalKeys. De los documentos resultantes se seleccionaron aquellos redactados en los últimos 10 años, en idioma español o inglés.  Desarrollo: aproximadamente existen 2584 especies de alacranes. La especie Tityus (Tityus) sorataensis fue descrita para Bolivia. Los venenos de escorpión se han estudiado durante más de un siglo. Las principales manifestaciones clínicas: placas de urticaria, hinchazón, eritema, equimosis y celulitis con edema. Las manifestaciones sistémicas van de uno a dos días después del envenenamiento y pueden desarrollar signos sistémicos: fiebre, palidez, fatiga, edema generalizado. El diagnóstico se basa en una historia de una picadura de escorpión y signos característicos de envenenamiento. El tratamiento puede ser empírico, aplicar medidas generales, manejo del dolor y si está presente algunas complicaciones como edema pulmonar, choque cardiogénico es necesario su manejo en una sala de cuidados intensivos  Conclusiones: la intoxicación por picadura de alacrán, es un reto terapéutico. Es recomendable la administración del antídoto (antiveneno) junto al tratamiento de sostén. un mejor conocimiento de los escorpiones, puede alentar el interés en realizar nuevas investigaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  scorpion stings are common in different parts of the world and are a real public health problem.  Objective:  to describe scorpion species, venom characteristics, pathophysiology, clinical manifestations, severity classification, diagnosis and management in the intensive care unit.  Methods:  a search for information was carried out in the period February-March 2023 in the SciELO, Scopus, PubMed/MedLine databases, the Google Scholar search engine, as well as in the ClinicalKeys services. The resulting documents were selected from those written in the last 10 years, in Spanish or English. Development: There are approximately 2584 species of scorpions. The species Tityus (Tityus) sorataensis was described for Bolivia. Scorpion venoms have been studied for more than a century. The main clinical manifestations: urticarial plaques, swelling, erythema, ecchymosis and cellulitis with edema. Systemic manifestations range from one to two days after envenomation and may develop systemic signs: fever, pallor, fatigue, generalized edema. Diagnosis is based on a history of a scorpion sting and characteristic signs of envenomation. Treatment can be empirical, applying general measures, pain management and if some complications such as pulmonary edema, cardiogenic shock are present, management in an intensive care unit is necessary  Conclusions:  intoxication by scorpion sting is a therapeutic challenge. It is advisable to administer antivenom together with supportive treatment. A better knowledge of scorpions may encourage interest in further research.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[PICADURAS DE ESCORPIÓN]]></kwd>
<kwd lng="es"><![CDATA[VENENOS DE ESCORPIÓN]]></kwd>
<kwd lng="es"><![CDATA[ESCORPIONES]]></kwd>
<kwd lng="es"><![CDATA[INTOXICACIÓN]]></kwd>
<kwd lng="en"><![CDATA[SCORPION STINGS]]></kwd>
<kwd lng="en"><![CDATA[SCORPION VENOMS]]></kwd>
<kwd lng="en"><![CDATA[SCORPIONS]]></kwd>
<kwd lng="en"><![CDATA[POISONING]]></kwd>
</kwd-group>
</article-meta>
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