Title: A case of scorpion sting with cardiac manifestations

Authors: Dr Brunda M S, Dr S N Padmini, Dr Tanzeem S, Dr Treesa M D

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.51

Abstract

  

Scorpion sting is common in many regions of India and can be a life threatening emergency, sometimes with serious clinical sequelae. We report a case of a 35 year old farmer who presented with scorpion sting to the emergency department initially with only local symptoms at the bite site but eventually developed sudden electrocardiographic changes, elevation of cardiac enzymes and echocardiographic abnormalities simulating early myocardial infarction. The patient was successfully treated in the intensive care unit with vasopressors, oxygen supplementation. The patient improved, repeat echocardiography was normal and was discharged 3 days later. Most scorpion envenomation result in local reaction, but some have systemic involvement that can be fatal. The importance of hospitalisation, intensive care treatment is emphasized.

Keywords: scorpion sting, myocardial infarction.

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Corresponding Author

Dr Brunda M S

Department of General Medicine, Aster CMI Hospital, No. 43/2, New Airport Road, NH 44, Sahakar Nagar, Hebbal, Bengaluru, Karnataka 560092, India