title: Lethal brain edema, shock, and coagulopathy after scorpion envenomation.
abstract: We report the case of a 2-year-old Bedouin boy in whom developed severe and unusual complications after being stung, most probably, by the yellow scorpion Leiurus quinquestriatus hebraeus. Five hours after arrival to the emergency department, the boy had multisystem organ failure involving the central nervous system (seizure activity followed by coma with dilated, nonreactive pupils, and severe brain edema), shock (noncardiogenic), disseminated intravascular coagulation, renal failure, hepatic failure, and watery diarrhea, causing his death. In view of the relevant literature, we discuss the pathophysiologic events ultimately leading to his death.
authors.affiliation: Pediatric Intensive Care Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University-Negev, Beer Sheva, Israel.
authors.forename: Yuval
authors.initials: Y
authors.lastname: Cavari
authors.forename: Isaac
authors.initials: I
authors.lastname: Lazar
authors.forename: Ilan
authors.initials: I
authors.lastname: Shelef
authors.forename: Shaul
authors.initials: S
authors.lastname: Sofer
mesh_terms: D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D002675:Child, Preschool; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure; D065008:Scorpion Stings / Q000401:mortality* / Q000628:therapy; D012604:Scorpion Venoms / Q000037:antagonists & inhibitors; D012605:Scorpions; D013997:Time Factors
chemical_list: D000997:Antivenins; D012604:Scorpion Venoms