Clinical profile of severe scorpion envenomation in children at rural setting.
he present study is an attempt to evaluate the clinical manifestations of severe scorpion sting in children and their management at a rural setting. Twelve patients with severe scorpion sting referred from primary health center are presented in this report. Eight children had pulmonary edema and hypotension; two had pulmonary edema and hypertension while one each presented with hypertension and tachycardia in isolation. Oral prazosin, dobutamine infusion and sodium nitroprusside drip (SNP) were used as therapeutic options based on the symptomatology. Two children died of massive pulmonary edema despite use of SNP and dopamine drip. Anti scorpion venom did not prevent the cardiovascular manifestations of severe scorpion sting. Early administration of prazosin alleviated the severity of scorpion envenomation
Bawaskar
Himmatrao S
HS
Bawaskar Hospital and Research Center, Mahad, Raigad 402 301, India. himmatbawaskar@rediffmail.com
Bawaskar
Promodini H
PH
D000293:Adolescent; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004280:Dobutamine / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D007262:Infusions, Intravenous; D008297:Male; D009599:Nitroprusside / Q000008:administration & dosage; D011224:Prazosin / Q000008:administration & dosage*; D011654:Pulmonary Edema / Q000209:etiology / Q000401:mortality / Q000628:therapy; D018570:Risk Assessment; D012424:Rural Population; D012494:Sampling Studies; D065008:Scorpion Stings / Q000150:complications / Q000401:mortality / Q000628:therapy*; D012604:Scorpion Venoms; D012605:Scorpions; D012720:Severity of Illness Index; D015996:Survival Rate; D016896:Treatment Outcome
D000997:Antivenins; D012604:Scorpion Venoms; D009599:Nitroprusside; D004280:Dobutamine; D011224:Prazosin