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Case Report

SJEMed. 2024; 5(3): 250-252


Children’s ingestion of blister beetles causing cantharidin poisoning: two pediatric cases in Saudi Arabia

Musa Alfaifi, Eman Aldweikh, Ohood Alshahrani, Daad I. Elgari, Rawan S. Alshahrani.




Abstract

Background: Cantharidin, a toxic substance produced by Meloidae (Coleoptera family) beetles, poses serious health risks upon ingestion, including renal impairment, hematemesis, altered consciousness, electrolyte imbalances, and hematuria.
Case Report: This study presents two pediatric cases of cantharidin poisoning resulting from the biting of Meloid beetles. Case 1 involved a 2-year-old exhibiting hematuria and vomiting, while case 2, a 9-month old, presented with agitation, lethargy, and hematuria. Both cases required intensive care and supportive management.
Conclusion: These cases highlight the clinical manifestations of cantharidin intoxication in children following exposure to Meloid beetles. Early recognition of symptoms, prompt medical intervention, and close monitoring are crucial in managing cantharidin poisoning, for which no specific antidote currently exists.

Key words: Cantharidin, intoxication, meloidae, blister beetle, case report.






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The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.