{"id":"https://openalex.org/W7148762165","doi":"https://doi.org/10.1016/j.jemint.2026.100009","title":"Pediatric scorpion envenomation in Tunisia: epidemiology, clinical features, therapeutic management and outcomes in a 14-year cohort study","display_name":"Pediatric scorpion envenomation in Tunisia: epidemiology, clinical features, therapeutic management and outcomes in a 14-year cohort study","publication_year":2026,"publication_date":"2026-04-04","ids":{"openalex":"https://openalex.org/W7148762165","doi":"https://doi.org/10.1016/j.jemint.2026.100009"},"language":"en","primary_location":{"id":"doi:10.1016/j.jemint.2026.100009","doi":"https://doi.org/10.1016/j.jemint.2026.100009","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jemint.2026.100009","pdf_url":null,"source":{"id":"https://openalex.org/S5407053834","display_name":"JEM International","issn_l":"3051-3227","issn":["3051-3227"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEM International","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.jemint.2026.100009","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069240575","display_name":"Amal ELLEUCH","orcid":"https://orcid.org/0000-0002-0897-8930","observed_orcids":["https://orcid.org/0000-0002-0897-8930"]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":true,"raw_author_name":"Amal Elleuch","raw_affiliation_strings":["Department of Pediatric Reanimation, Hedi Chaker Hospital, Sfax, Tunisia"],"raw_orcid":"https://orcid.org/0000-0002-0897-8930","affiliations":[{"raw_affiliation_string":"Department of Pediatric Reanimation, Hedi Chaker Hospital, Sfax, Tunisia","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5132835500","display_name":"Asma Gondech","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Asma Gondech","raw_affiliation_strings":["Department of Pediatric Reanimation, Hedi Chaker Hospital, Sfax, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Reanimation, Hedi Chaker Hospital, Sfax, Tunisia","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019787324","display_name":"Imen Elleuch","orcid":"https://orcid.org/0000-0002-7417-4631","observed_orcids":["https://orcid.org/0000-0002-7417-4631"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Imen Elleuch","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125714561","display_name":"asma ben halima","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Asma Ben Halima","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5132833168","display_name":"Safi Faiza","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Faiza Safi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5069240575"],"corresponding_institution_ids":["https://openalex.org/I4210110673"],"apc_list":null,"apc_paid":null,"fwci":3.6325,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.84124587,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"1","issue":null,"first_page":"100009","last_page":"100009"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11635","display_name":"Poisoning and overdose treatments","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14028","display_name":"Healthcare and Venom Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/scorpion-envenomation","display_name":"scorpion envenomation","score":0.9929999709129333},{"id":"https://openalex.org/keywords/pediatric-envenomation","display_name":"pediatric envenomation","score":0.9509999752044678},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.7480000257492065},{"id":"https://openalex.org/keywords/cardiac-involvement","display_name":"cardiac involvement","score":0.6119999885559082},{"id":"https://openalex.org/keywords/cardiac-troponin","display_name":"cardiac troponin","score":0.9290000200271606},{"id":"https://openalex.org/keywords/left-ventricular-dysfunction","display_name":"left ventricular dysfunction","score":0.9810000061988831},{"id":"https://openalex.org/keywords/antivenom","display_name":"antivenom","score":0.9340000152587891},{"id":"https://openalex.org/keywords/inotropic-support","display_name":"inotropic support","score":0.8690000176429749},{"id":"https://openalex.org/keywords/adverse-outcomes","display_name":"adverse outcomes","score":0.6069999933242798},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.6449999809265137},{"id":"https://openalex.org/keywords/rural-areas","display_name":"rural areas","score":0.49900001287460327},{"id":"https://openalex.org/keywords/tunisia","display_name":"Tunisia","score":0.6039999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8686000108718872},{"id":"https://openalex.org/C2777884321","wikidata":"https://www.wikidata.org/wiki/Q19125","display_name":"Scorpion","level":3,"score":0.6739000082015991},{"id":"https://openalex.org/C145600735","wikidata":"https://www.wikidata.org/wiki/Q3055418","display_name":"Envenomation","level":3,"score":0.6126999855041504},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5235999822616577},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4505000114440918},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4426000118255615},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.390500009059906},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.36090001463890076},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.33500000834465027},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.31029999256134033},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C2779379848","wikidata":"https://www.wikidata.org/wiki/Q917069","display_name":"Rhabdomyolysis","level":2,"score":0.27239999175071716},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.25949999690055847},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.257999986410141},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.25369998812675476}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.jemint.2026.100009","doi":"https://doi.org/10.1016/j.jemint.2026.100009","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jemint.2026.100009","pdf_url":null,"source":{"id":"https://openalex.org/S5407053834","display_name":"JEM International","issn_l":"3051-3227","issn":["3051-3227"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEM International","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.jemint.2026.100009","doi":"https://doi.org/10.1016/j.jemint.2026.100009","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jemint.2026.100009","pdf_url":null,"source":{"id":"https://openalex.org/S5407053834","display_name":"JEM International","issn_l":"3051-3227","issn":["3051-3227"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEM International","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W198935922","https://openalex.org/W1982158529","https://openalex.org/W1991022058","https://openalex.org/W2106598363","https://openalex.org/W2111425342","https://openalex.org/W2158153615","https://openalex.org/W2270946942","https://openalex.org/W2612622460","https://openalex.org/W3135701164","https://openalex.org/W3165210754","https://openalex.org/W4234963951","https://openalex.org/W4319655800","https://openalex.org/W4362601826","https://openalex.org/W4390012963","https://openalex.org/W4401315155","https://openalex.org/W4403224688"],"related_works":["https://openalex.org/W2040305650","https://openalex.org/W4410635695","https://openalex.org/W2783110547","https://openalex.org/W2158153615","https://openalex.org/W2085784392","https://openalex.org/W2606427458","https://openalex.org/W4306643054","https://openalex.org/W2112171583","https://openalex.org/W3118450109","https://openalex.org/W2143382007"],"abstract_inverted_index":{"Background":[0],"Scorpion":[1],"envenomation":[2,60,111,201],"is":[3],"a":[4,31,36,77],"persistent":[5],"public":[6],"health":[7],"concern":[8],"in":[9,12,40,104,134,143,150,159],"Tunisia,":[10],"particularly":[11],"rural":[13,98],"areas.":[14,99],"Children":[15,53],"are":[16,214],"especially":[17],"vulnerable":[18],"due":[19],"to":[20,204,216],"low":[21],"body":[22],"weight":[23],"and":[24,66,95,109,120,139,154,186,206,211],"immature":[25],"physiological":[26],"systems.":[27],"Methods":[28],"We":[29],"conducted":[30],"retrospective":[32],"cohort":[33],"study":[34],"over":[35],"14-year":[37],"period":[38],"(2011\u20132024)":[39],"the":[41],"Pediatric":[42,199],"Intensive":[43],"Care":[44],"Unit":[45],"of":[46,80,88,106,137,152,167],"Hedi":[47],"Chaker":[48],"University":[49],"Hospital,":[50],"Sfax,":[51],"Tunisia.":[52],"aged":[54],"0\u201314":[55],"years":[56,87],"with":[57,76,114,129,195],"confirmed":[58],"scorpion":[59,200],"were":[61,69,74,84,102,112,162,192],"included.":[62],"Epidemiological,":[63],"clinical,":[64],"biological,":[65],"outcome":[67],"data":[68],"analyzed.":[70],"Results":[71],"Sixty-nine":[72],"children":[73],"included,":[75],"mean":[78],"age":[79],"4.6":[81],"years;":[82],"two-thirds":[83],"under":[85],"five":[86],"age.":[89],"Most":[90],"cases":[91,138],"occurred":[92],"during":[93],"summer":[94],"originated":[96],"from":[97],"Systemic":[100],"manifestations":[101],"present":[103],"85.5%":[105],"patients.":[107],"Moderate":[108],"severe":[110,175],"predominant,":[113],"49.3%":[115],"classified":[116],"as":[117,122],"Grade":[118,123],"II":[119],"39.1%":[121],"III.":[124],"Cardiac":[125],"involvement":[126],"was":[127,148,157],"frequent,":[128],"elevated":[130],"cardiac":[131,207],"troponin":[132],"observed":[133],"nearly":[135],"half":[136],"left":[140],"ventricular":[141,182],"dysfunction":[142],"more":[144],"than":[145],"one-third.":[146],"Antivenom":[147],"administered":[149],"88.4%":[151],"patients,":[153],"inotropic":[155],"support":[156],"required":[158],"25.9%.":[160],"There":[161],"no":[163],"fatalities;":[164],"however,":[165],"18.5%":[166],"patients":[168],"developed":[169],"sequelae,":[170],"mainly":[171],"cardiac.":[172],"Younger":[173],"age,":[174],"clinical":[176],"presentation,":[177],"seizures,":[178],"respiratory":[179],"distress,":[180],"hyperglycemia,":[181],"dysfunction,":[183],"pulmonary":[184],"edema,":[185],"delayed":[187],"medical":[188],"care":[189],"(>2":[190],"hours)":[191],"significantly":[193],"associated":[194],"adverse":[196],"outcomes.":[197],"Conclusion":[198],"often":[202],"leads":[203],"systemic":[205],"complications.":[208],"Early":[209],"recognition":[210],"rapid":[212],"management":[213],"critical":[215],"reducing":[217],"morbidity.":[218]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-04-04T00:00:00"}
