Hemodynamic and myocardial consequences of scorpion venom

Gueron, M; Adolph, Robert J.; Grupp, Ingrid L.; Gabel, Marjorie; Grupp, Günter; Fowler, Noble O.

doi:10.1016/0002-9149(80)90166-6

Cited by 123 publications

(47 citation statements)

References 23 publications

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“…3,14,21 Death most commonly results from left heart failure and pulmonary edema. 8,12,22 Experimentally, autonomic stimulation causes significant biochemical disturbance also, such as hyperglycemia, hypocalcemia, hypophosphatemia and elevation in serum alkaline phosphatase and total serum proteins. 23,24 However, with the exception of transient hypocalcemia, El-Amin (in a study of 96 children admitted with scorpion stings) found no significant hematological or biochemical findings.…”

Section: Discussionmentioning

confidence: 79%

“…The toxicity of the venom varies with the size, age and nutrition of the scorpion as well as climatic conditions. 12 Venom potency tends to diminish progressively with a rapid number of strikes in succession. 11,13 The clinical effect of the venom is also affected by the body mass and the general health of the patient.…”

Section: Discussionmentioning

confidence: 86%

“…The overall effect of severe scorpion envenomation is to cause hypertension, increased myocardial contractility and dysrhythmias and neuromuscular hyperactivity. 12,20,21 Severe envenomation, when it occurs, usually seems to appear within six hours following a sting. 3,14,21 Death most commonly results from left heart failure and pulmonary edema.…”

Section: Discussionmentioning

confidence: 99%

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Scorpion Sting Syndrome — A Ten Year Experience

1995

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A 10-year retrospective review was undertaken of patients presenting with "scorpion sting" to the Emergency Department of the King Fahad National Guard Hospital in Riyadh. The purpose of the study was 1) to assess the risk of morbidity and mortality following scorpion envenomation in the Riyadh area; 2) to define patient demographics of the study group and identify high risk groups for systemic toxicity; 3) to develop guidelines for patient management. Four hundred and thirty-four cases were studied. Local pain was the primary presenting complaint (92%). Systemic toxicity occurred in 25.6% (n=111). Anxiety-related presentations were the most common systemic symptoms (6%). Hypertension (17%) and/or tachycardia (4%) were the most common systemic signs. Only four patients (<1%) had signs of serious envenomation requiring admission. There were no deaths. The higher risk groups for systemic toxicity were identified as those with age less than eight years or greater than 30 years, with highest risk in those over 50 years, those with history of hypertension or diabetes, and patients with multiple stings. The great majority of patients can be treated with analgesia, local application of ice, and a period of observation dictated by clinical findings. The use of antivenin should be restricted to patients with signs of serious systemic toxicity only. Ann Saudi Med 1995;15(2):148-155.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Scorpion Sting Syndrome — A Ten Year Experience

1995

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“…29,30 Cardiovascular complications, which are major causes of morbidity and mortality in scorpion sting envenomation, [29][30][31][32][33] are less commonly reported in spider bite envenomation. 12,13,16 The reasons for the relative infrequency of cardiovascular complications in spider bite compared to scorpion sting envenomation are unclear, but may be related to a difference in the potency of their venoms.…”

Section: Discussionmentioning

confidence: 99%

Spider Bite Envenomation in Al Baha Region, Saudi Arabia

Bucur

Obasi

1999

Ann Saudi Med

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“…Hypertension in mild cases and hypotension or pulmonary edema in severe cases of scorpion stings have been observed by Sofer et al (5). Gueron et al (6) showed that scorpion venom may cause tachycardia and hypertension. The hypertensive and tachycardic situation suggests that our case was at the early stages.…”

Section: Discussionmentioning

confidence: 99%

A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting

Ersoy¹,

Yılmaz²,

Sönmez³

et al. 2017

J Emerg Med Case Rep

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A 30-year-old male farmer presented to our emergency department (ED) with complaints of pain and redness in the bite site approximately 1 h after being stung on his left foot by a scorpion while he was working on his farm in the night. The patient had no chronic diseases, medical drug use, or allergy in his medical history. He was discharged a few hours after his examination, treatment, and follow-up at the observation unit because all the symptoms were relieved after treatment and there were no abnormal values from the laboratory examinations. He was re-admitted to the ED with complaints of widespread body pain, fatigue, and mild shortness of breath approximately 6 h after his discharge. During his physical examination, he was conscious, cooperative, oriented, and also mildly agitated. His vital signs were blood pressure, 180/100 mmHg; heart rate, 130/min; tempera-ABSTRACT Introduction: Scorpion stings continue to be a current public health problem in tropical regions of the world. Local effects are usually seen, but fatal cardiovascular complications may occur, albeit rarely, from scorpion stings. The purpose of this case is to emphasize that rhabdomyolysis and myocarditis can occur in patients admitted to a hospital with a scorpion sting. Case Report: A 30-year-old male patient presented to our emergency department (ED) with complaints of pain and redness in the bite site after being stung by a scorpion. His blood pressure was 180/100 mmHg and heart rate was 130/ min. Electrocardiography (ECG) showed a sinus tachycardia. Laboratory tests revealed the following values: creatinine: 1.71 mg/dL, creatinin kinase (CK): 2129 U/L, creatinin kinase-myocardial band (CK-MB): 43.24 ng/mL, and troponin: 22.59 ng/mL. After catheterization of the bladder, dark brown urine was seen. There were no pathological findings in coronary angiography, but the left ventricular ejection fraction was detected as 45%. The clinically stable patient was discharged on the fifth day of hospitalization. There were no abnormal findings in the latest tests of laboratory parameters. Conclusion: Scorpion stings can cause death due to toxic effects on the cardiovascular system. Observations for possible complications from a scorpion sting, such as the possibility of myocarditis, should be kept in mind in patients admitted to the ED with complaints of a scorpion sting.

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Hemodynamic and myocardial consequences of scorpion venom

Cited by 123 publications

References 23 publications

Scorpion Sting Syndrome — A Ten Year Experience

Scorpion Sting Syndrome — A Ten Year Experience

Spider Bite Envenomation in Al Baha Region, Saudi Arabia

A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting

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