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Methamphetamine Ingestion Misdiagnosed as Centruroides sculpturatus Envenomation
Joshua Strommen1, Farshad Shirazi2
1Department of Emergency Medicine, Carl R Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76554, USA.
Abstract:
The authors present a case report of a 17-month-old female child who ingested a large amount of methamphetamine that looked very similar clinically to a scorpion envenomation specific to the southwestern United States by the species Centruroides sculpturatus. The child was initially treated with 3 vials of antivenom specific for that scorpion species and showed a transient, though clinically relevant neurologic improvement. Her clinical course of sympathomimetic toxicity resumed and she was treated with intravenous fluids and benzodiazepines after blood analysis showed significant levels of d-methamphetamine. This case report is to specifically underline the clinical confusion in discerning between these two conditions and the realization of limited and/or expensive resources that may be used in the process.
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