DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20161893

Clinical profile of scorpion sting envenomation in children

C. Soren, K. Nageswara Rao

Abstract


Background:Scorpion sting envenomation is a life threatening emergency. The main objective is to study the clinical profile and outcome of scorpion sting envenomation in children.

Methods: This retrospective study analyzed case records of children under 15 years of age who admitted with scorpion sting envenomation from Feb 2014 to Jan 2016. Case records were analyzed for age and sex of the patient; site of scorpion sting, time lapsed from the scorpion sting to hospitalization, season, clinical manifestations, duration of hospital stay and outcome.

Results:During the study period, 164 children were admitted for scorpion sting. Majority of the children are from rural area, male sex, and stung in lower limb, mostly during nights of summer. Local pain at the site of sting and sweating are the commonest local symptoms and systemic sign, respectively. 53.65% children had class II severity. Mean duration of hospital stay was 3 days. Two patients died, both had pulmonary edema.

Conclusions:Prompt referral and early therapy with prazocin is life saving for scorpion sting envenomation in children.  


Keywords


Scorpion sting envenomation, Pulmonary edema, Prazocin

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References


Bawaskar HS, Bawaskar PH. Scorpion sting: update. J Assoc Physicians India. 2012;60:46-55.

Bawaskar HS, Bawaskar PH. Clinical profile of severe scorpion envenomation in children at rural setting. Indian Pediatrics. 2003;40:1072-81.

Vazirianzadeh B, Farhadpour F, Hosseinzadeh M, Zarean M, Moravvej S. An epidemiological and clinical study on scorpionism in hospitalized children in Kuzestan, Iran. J arthropod Borne Dis 2012;6:62-9.

Mahadevan S. Scorpion sting. Indian Pediatr. 2000;37:504-14.

Ismail M. The scorpion-envenoming syndrome. Toxicon. 1995;3:825-58.

Chi PJP. Emerging options for the management of scorpion stings. Drug Des Devel Ther. 2012;6:165-73.

Pol R, Vanaki R, Pol Manaswini. The clinical profile and the efficacy of prazosin in scorpion sting envenomation in children of North Karnataka (India). J Clin Diagn Res. 2011;5(3):456-8.

Cesaretli Y, Ozkan O. Scorpion sting in Turkey: Epidemiological and clinical aspects between the years 1995 and 2004. Rev Inst Med Trop Sao Paoulo. 2010;52:215-20.

Bosnak M, Levent YH, Ece A, Yildizdas D, Yolbas I, Kocamaz H, et al. Severe scorpion envenomation in children: management in the paediatric intensive care unit. Hum Exp Toxicol. 2009;28(11):721-8.

Farghly WM, Ali FA. A clinical and neurophysiological study of scorpion envenomation in Assiut, Upper Egypt. Acta Paediatr. 1999;88:290-4.

Biswal N, Bashir RA, Murmu Uday C, Mathai B, Balachander J, Srinivasan S. Outcome of scorpion sting envenomation after a protocol guided therapy. Indian J Pediatr. 2006;73:577-82.