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Scorpion sting on the penis
S de A Nishioka1, P V Silveria, C A Pereira
1Centro de Ciências Biomédicas, Federal University of Uberlândia, Brazil.
The Journal of Urology
|November 1, 1993
Summary
A scorpion sting on the penis caused severe pain. Immediate pain relief was achieved using a local anesthetic nerve block, which is the recommended treatment for such cases without systemic effects.
Area of Science:
- Toxicology
- Dermatology
- Emergency Medicine
Background:
- Scorpion stings, particularly from Tityus serrulatus, can cause severe pain.
- Penile envenomation presents unique challenges for pain management.
Observation:
- A 58-year-old male experienced intense, persistent pain after a Tityus serrulatus scorpion sting on the penis.
- Pain persisted for 12 hours before hospital presentation.
Findings:
- Immediate and complete pain relief was achieved via dorsal penile nerve block with 1% lidocaine.
- Local or regional anesthetic blocks are effective for managing localized pain from Tityus scorpion stings.
Implications:
- Dorsal penile nerve block is the treatment of choice for Tityus scorpion stings on the penis without systemic symptoms.
- Specific antivenom is reserved for systemic manifestations, especially in pediatric cases.