Title: Management of Scorpion Envenomation in Children
Authors: Dr J.K.Thaaranipriya, Dr R. Ramanathan, Dr S.Harivasudevan, Dr E.Balasubramanian
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.37
Abstract
Introduction: The study was aimed to describe our experience with epidemiological characteristics, management options, and outcome of scorpion envenomation in children.
Materials and Methods: This prospective study was conducted at Rajah Muthiah Medical College and Hospital. The epidemiologic details including geographical locality of the event, age distribution, gender, and sting sites were noted in all hospitalized children with scorpion bite injury.
Results: During the study period, a total 100 children were managed for scorpion sting. Male children were commoner victims of scorpion sting. Scorpion sting had bimodal pattern. Prazosin was used in 89 children.
Conclusion: In this study, there was bimodal distribution of the scorpion sting cases, male children were more affected, and almost all of them improved with good outcome. We did not use anti-venin in the present study. The data from the study will serve not only to create heightened public awareness about scorpion envenomation but also to develop public awareness strategies and preventive measures.
Keywords: scorpion sting, scorpion, scorpion envenomation.References
1. Chippaux JP. Emerging options for the management of scorpion stings. Drug Des Devel Ther 2012;6:165-73.
2. Jarrar BM, A l-Rowaily MA. Epidemiological aspects of scorpion stings in Al-Jouf Province, Saudi Arabia. Ann Saudi Med 2008; 28:183-7.
3. Mahadevan S. Scorpion sting. Indian Pediatr 2000; 37:504-14.
4. Bawaskar HS, Bawaskar PH. Clinical profile of severe scorpion envenomation in children at rural setting. Indian Pediatr 2003; 40: 1072-5.
5. Abroug F, ElAtrousS, Nouira S, Haguiga H, TouziN, Bouchoucha S. Serotherapy in scorpion envenom mation: A randomised controlled trial. Lancet 1999; 354:906-9.
6. Ismail M. Treatment of the scorpion envenoming syndrome:12-years experience with serotherapy. Int J Antimicrob Agents 2003;21:170-4.
7. Pardal PP, Castr o LC, Jennings E, Pardal JS, Monteiro MR. Epidemiological and clinical aspects of scorpion envenomation in the region of Santarém, Pará, Brazil. RevSoc Bras Med Trop 2003; 36: 349-53.
8. Ho-Pang Yang, Fu-Chung Chen, Chien - Cheng Chen et al. Manifestations Mimicking Acute Myocardial Infarction after Honeybee Sting. Acta Cardiol Sin 2009; 25: 31-5.
9. Rahav G, Weiss T. Scorpion sting induced pulmonary oedema. Scintigraphic evidence cardiac dysfunction. Chest 1990; 97:1478-80.
10. Bosnak M, Levent Yi lmaz H, Ece A, Yildizdas D, YolbasI, Kocamaz H, et al. Severe scorpion envenomation in children: Management in pediatric intensive care unit. Hum exp Toxicol 2009; 28:721-8.