Scorpion evenomation and the role of lytic cocktail in its management

Mahadevan, Subramanian; Choudhury, Panna; Puri, R. K.; Srinivasan, Sivaramakrishnan

doi:10.1007/bf02758544

Cited by 15 publications

(25 citation statements)

References 6 publications

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“…There was a male preponderance in cases studied by us. This has also been noted in the past by various authors 3,35 . This could be because boys tend to be more exploratory and wander outside.…”

Section: Sex Distributionsupporting

confidence: 80%

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A study on clinical presentation and outcome of scorpion sting in children

Pazhanisamy¹,

Madhavan²

2020

IJMPO

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Section: Sex Distributionsupporting

confidence: 80%

“…year age groups were 6%, 35%, 25% and 34% respectively. Mahadevan S in 1981, reported a series of 100 cases of scorpion sting in children and reported a similar age distribution 35 . Children between 6-12 years of age are more exploratory and tend to wander outside homes in the darkness and hence are more susceptible to stings 4 .…”

Section: Age Distributionmentioning

confidence: 88%

A study on clinical presentation and outcome of scorpion sting in children

Pazhanisamy¹,

Madhavan²

2020

IJMPO

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“…Case fatalities of 3-22% were reported among children hospitalized for scorpion stings in India, Saudi Arabia and South Africa 7,13,25,27,35 . Symptoms after scorpion sting progress to a maximal severity in about five hours and subside within a day or two.…”

Section: Discussionmentioning

confidence: 99%

Asymmetric pulmonary edema after scorpion sting: a case report

Razi

Malekanrad

2008

Rev. Inst. Med. trop. S. Paulo

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SUMMaRYA 12-year-old boy was referred with acute asymmetric pulmonary edema (APE) four-hour after scorpion sting to Emergency department. On admission, the main clinical manifestations were: dyspnea, tachypnea, and tachycardia. Chest x-ray revealed APE predominantly on the right hemithorax. The patient was treated with oxygen, intravenous frusemide and digoxin and discharged on the sixth hospital day in a good condition. This case report emphasizes the occurrence of asymmetric pulmonary edema after severe scorpion envenomation within few hours immediately after the sting.

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“…Local ice packs, xylocaine (local anesthetic), the dihydroemetine (counter irritant), nonsteroidal anti-inflammatory drugs, and streptomycin (neuromuscular blockade) have been reported to be useful. [18][19][20] The loss of fluid due to profuse sweating and vomiting is usually overlooked. Hence, oral fluids whenever feasible must be encouraged.…”

Section: Stroke: Numerous Mechanisms Have Been Proposedmentioning

confidence: 99%

Stroke as a rare consequence of scorpion sting and scorpion ingestion: A case report from South East Nigeria

Eze

Onwuekwe

Ekenze

2014

Ann Trop Med Public Health

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Stroke following scorpion stings is rare and potentially fatal. Some case reports have been documented, especially in the Indian subcontinent. There is no published report of stroke as a complication of scorpion envenomation from South East Nigeria. Presented is the profile of an elderly woman with hemorrhagic stroke as a complication of a sting from a scorpion which was killed and thereafter ingested. A review of relevant literature is also made. An 83-year-old woman from a rural community was admitted in August 2011 at the University of Nigeria Teaching Hospital, Enugu with dysphasia, altered sensorium and right hemiparesis occurring 4 h after a scorpion sting to the left leg 2 weeks before presentation. Preceding the neurological deficits she had local pain and restlessness. She was not a known hypertensive or diabetic, but had been stung on two previous occasions by scorpions. It was customary to eat the scorpion if killed which was the case here. Systemic examination was remarkable only for drowsiness with a Glasgow Coma Scale of 11/15, mild right facial nerve palsy with ipsilateral spastic hemiplegia. Brain computed tomography scan done about 4 weeks after the ictus showed features consistent with a left intracerebral hemorrhage. She was managed conservatively and recovered motor functions over 3 weeks necessitating discharge. Since there was no other detectable risk factor, we can conclude that the patient suffered a stroke as a result of the vasculotoxic actions of the scorpion venom.

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Scorpion evenomation and the role of lytic cocktail in its management

Cited by 15 publications

References 6 publications

A study on clinical presentation and outcome of scorpion sting in children

A study on clinical presentation and outcome of scorpion sting in children

Asymmetric pulmonary edema after scorpion sting: a case report

Stroke as a rare consequence of scorpion sting and scorpion ingestion: A case report from South East Nigeria

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