Hemolytic Uremic Syndrome Secondary to Scorpion Envenomation in a 7-Year-Old Boy from Southwestern Iran
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Patients presenting with alleged scorpion envenomation is a common presentation in rural tertiary hospitals. The clinical prole of scorpion envenomation has been well established. However, data on the electrocardiographic changes in scorpion envenomation, particularly of patients presenting to a south Indian rural tertiary hospital are scant. In this cross-sectional study of 90 patients presenting to our hospital, we describe the electrocardiographic ndings of patients with scorpion envenomation. Data on correlation between severity of scorpion envenomation and ECG changes are also presented. The clinical prole of scorpion envenomation is varied, in its severity and by the type of scorpion, hence, the ECG may be a cheap and simple tool to detect warning signs early to initiate timely and appropriate management
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Scorpion Venoms
Antivenom
Sting
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Each year more than a million cases of scorpion envenomation occur worldwide, causing substantial morbidity and, among children, a risk of death. This brief review discusses the effects and treatment of scorpion envenomation.
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We report a case of scorpion envenomation occurring during combat in Tagab district, province of Kapisa, Afghanistan. A French soldier was stung by a yellow scorpion (suspected Androctonus australis) and sustained systemic envenomation with hemodynamic and neurological manifestations. We discuss the clinical features, prevention, and management of a scorpion sting.
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Scorpion Venoms
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Abstract Scorpion envenomation is quite common in India, southeast Asia, the U.S. southwest, and Israel (in the Negev and around Jerusalem). Yellow scorpion is considered the most dangerous scorpion that causes cardiac toxicity. Two patients are described, who lived in a nonendemic area of yellow scorpions and were envenomated by the black scorpion. Both suffered temporary cardiac involvement (manifested by electrocardiographic changes) which reverted to a normal pattern within 24 h. These are the first two cases that have been reported (from black scorpion envenomation) and indicate that the toxin of the black scorpion is also cardiotoxic, but much less than the “yellow scorpion” toxin.
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Cardiac toxicity
Scorpion toxin
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The yellow scorpion, Buthus boumalenii, has long been recognized as a potentially dangerous species endemic to Morocco. However, there is currently no data on the in vivo toxicity or effects of Buthus boumalenii venom, as it has not been studied to the best of our knowledge. In order to achieve the objective of this study, the LD50 of B. boumalenii venom will be initially calculated, followed by determining its impact on vital organs using histological, biochemical, and behavioral analyses. The investigation also explores potential neurobehavioral impairments in Swiss mice at intervals of 3 hours, 6 hours, and 12 hours post-envenomation. The LD50 for Buthus boumalenii scorpion venom in mice was determined to be 353 µg/kg based on body weight. The findings of the study highlight the potential lethality of B. boumalenii. Observations related to the poisoning provide indications of potential tissue damage in specific vital organs. To sum up, the venom from this scorpion has the potential to result in considerable medical complications, including fatalities, particularly in individuals at risk. Consequently, healthcare practitioners should be knowledgeable about the diverse scorpion species in their regions and adhere to contemporary medical protocols when addressing scorpion envenomation.
Scorpion Venoms
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Median lethal dose
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