Scorpion sting: update.
Scorpion envenomation is an important public health hazard in tropical and sub-tropical regions. Envenomation by scorpions can result in a wide range of clinical effects, including, cardiotoxicity, neurotoxicity and respiratory dysfunction. Out of 1500 scorpion species known to exist, about 30 are of medical importance. Although a variety of different scorpion species exist, majority of them produce similar cardiovascular effects. Scientists and clinicians have studied patho-physiology of scorpion envenomation by critical observations of clinical, neurotransmitters studies, radioisotope studies, echocardiography and haemodynamic patterns. Regimen including scorpion antivenom, vasodilators, intensive care management have been tried to alleviate the systemic effects of envenoming. In spite of advances in patho-physiology and therapy the mortality remains high in rural areas due to lack of access to medical facilities, moreover the medical attendee from developing tropical countries may not be aware of the advances in the treatment of scorpion sting. Since the advent of scorpion Antivenom, vasodilators, dobutamine and intensive care facilities, the fatality due to severe scorpion sting has been significantly reduced in areas where these treatment modalities are used.
Bawaskar Hospital and Research Centre, Mahad, Raigad, Maharashtra, India.
Himmatrao Saluba
HS
Bawaskar
Pramodini Himmatrao
PH
Bawaskar
D058668:Adrenergic alpha-1 Receptor Antagonists / Q000008:administration & dosage*; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage*; D006801:Humans; D011224:Prazosin / Q000627:therapeutic use*; D065008:Scorpion Stings / Q000175:diagnosis / Q000628:therapy*; D012604:Scorpion Venoms; D012605:Scorpions; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use*
D058668:Adrenergic alpha-1 Receptor Antagonists; D000997:Antivenins; D012604:Scorpion Venoms; D014665:Vasodilator Agents; D011224:Prazosin