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An infant with inconsolable crying

Abdullah Khan1

  • 1Dignity Health - St. Rose Dominican Hospital, Siena Campus Hospital, Department of Pediatric Emergency Medicine, Henderson, NV, 89052, USA.

The American Journal of Emergency Medicine
|January 8, 2022
PubMed

Insights

Infant inconsolable crying can stem from various causes. Scorpion envenomation, though rare, should be considered when other diagnostics are negative, as antivenom can resolve symptoms.

Area of Science:

  • Pediatric Medicine
  • Toxicology
  • Emergency Medicine

Background:

  • Infant inconsolable crying is a common clinical challenge, with causes ranging from benign infantile colic to serious underlying pathologies.
  • A systematic diagnostic approach involving history, physical examination, and investigations is crucial for identifying the etiology of persistent crying.

Observation:

  • A case is presented of an infant with inconsolable crying and tachycardia, who showed no signs of somatic or cranial nerve dysfunction.
  • Extensive workup, including laboratory and radiologic evaluations, failed to identify a cause for the infant's symptoms.

Findings:

  • Scorpion envenomation was eventually suspected after consultation.
  • Administration of antivenom led to the infant's complete recovery and resolution of crying.

Implications:

  • This case highlights that bites and stings, specifically scorpion envenomation, can manifest as inconsolable crying in infants.
  • Clinicians should consider environmental exposures and toxicological causes in the differential diagnosis of unexplained infant crying, especially when accompanied by tachycardia.

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