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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 1, February 2014 pp 22-25
The Clinical Manifestation and Outcome of Scorpion Sting Envenomation in Children Admitted to Tertiary Care Hospital
Srinivasa K.1, Vishwanath B.2
1Assistant Professor, 2Associate Professor, Department of Pediatrics, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, INDIA.
Academic Editor : Dr. Aher K.R.
Objective: To study the clinical profile, the pattern of presentation, treatment and the outcome in scorpion sting envenomation at a tertiary care hospital. Methods: A total of 120 children were prospectively studied. The data included demographics, the time of presentation to the hospital, the clinical features, and the premedication which was given before the arrival of the subjects at the hospital, response to the oral Prazosin and the hospital outcome. Results: Local pain, sweating and peripheral circulatory failure were the common clinical presentations. Complications like acute pulmonary oedema, myocarditis, shock and encephalopathy were also seen. These were treated with a combination of Prazosin with either inotropes or vasodilators. Mortality was seen in 3(2.5%) children. Oral Prazosin, a postsynaptic alpha –1 blocker, is a highly effective drug for scorpion sting envenomation. Conclusion: Scorpion sting envenomation is an acute life threatening emergency and an early presentation to the hospital and an early intervention with proper medication( Prazosin) can hasten the recovery in the scorpion sting victim.