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Getting stung by black scorpion Androctonus crassicauda: a case report
A Aghabiklooei1, N Zamani1, H Hassanian-Moghaddam2
1Toxicological Research Center, Loghman Hakim Hospital, Department of Clinical Toxicology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Human & Experimental Toxicology
|December 19, 2013
Summary
Early diagnosis and antivenom treatment are crucial for scorpion sting patients. Prompt administration of scorpion antivenom can reverse severe symptoms and improve outcomes.
Area of Science:
- Toxicology
- Emergency Medicine
Background:
- Scorpion stings can cause severe systemic effects, mimicking other critical conditions.
- Early diagnosis and management of scorpion envenomation are vital but often overlooked.
Observation:
- A 65-year-old female presented with agitation, tachycardia, sweating, pulmonary edema, and lethargy after a scorpion sting.
- Initial diagnosis was myocardial infarction, but scorpion sting was identified as the cause of a combined cholinergic and adrenergic syndrome.
Findings:
- The patient showed a dramatic and rapid recovery following the administration of a low dose of scorpion antivenom.
- Antivenom effectively reversed cholinergic and sympathetic signs, pulmonary edema, and electrocardiographic changes.
Implications:
- Scorpion antivenom is effective in reversing life-threatening scorpion envenomation manifestations.
- Emphasizes the importance of considering scorpion stings in differential diagnoses and early antivenom use.
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